| Bloom Pediatric Dentistry | |
|
1900 W Germann Rd Ste 3 Chandler AZ 85286-6838 | |
| (480) 867-7355 | |
| (480) 907-1888 |
| Full Name | Bloom Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1900 W Germann Rd Ste 3, Chandler, Arizona |
| Authorized Official Name and Position | Janelle Unhae Lee (PEDIATRIC DENTIST/ OWNER) |
| Authorized Official Contact | 4808677355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Pediatric Dentistry 1900 W Germann Rd Ste 3 Chandler AZ 85286-6838 Ph: (480) 867-7355 | Bloom Pediatric Dentistry 1900 W Germann Rd Ste 3 Chandler AZ 85286-6838 Ph: (480) 867-7355 |
| NPI Number | 1578061925 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 01/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578061925 | NPI | - | NPPES |
| 154524 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D009485 (Arizona) | Primary |
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