institution
Larry D. Bloom, Dds, Pa
Pediatric Dentist in Sierra Vista, Arizona
NPI 1457422669

Larry D. Bloom, Dds, Pa is a Pediatric Dentist based in Sierra Vista, AZ and is specialized in Pediatric Dentistry. Larry D. Bloom, Dds, Pa practices in Sierra Vista, AZ. The NPI Number for Larry D. Bloom, Dds, Pa is 1457422669 and holds a License No. D3807 (Arizona).

The current practice location address for Larry D. Bloom, Dds, Pa is 2273 E Wilcox Dr, Sierra Vista, AZ and can be reached out via phone at 520-458-1835 and via fax at 520-459-4145.

Location: 2273 E Wilcox Dr, Sierra Vista, AZ, 85635-2755
institution
Provider Profile Details
NPI Number
1457422669
Provider Name
Larry D. Bloom, Dds, Pa
Credential
Provider Entity Type
Organization
Address
2273 E Wilcox Dr, Sierra Vista, AZ, 85635-2755
Phone Number
520-458-1835
Fax Number
520-459-4145
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2273 E Wilcox Dr
City
State
Zip
85635-2755
Phone Number
520-458-1835
Fax Number
520-459-4145
person
Provider Business Mailing Address Details
Address
2273 E Wilcox Dr
City
State
Zip
85635-2755
Phone Number
520-458-1835
Fax Number
520-459-4145
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D3807 (Arizona)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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