| Cherilee C Bloom Dds Pllc | |
|
815 W Canfield Ave Coeur D Alene ID 83815-9765 | |
| (108) 762-2544 | |
| (208) 762-9563 |
| Full Name | Cherilee C Bloom Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 815 W Canfield Ave, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Cheri C Bloom (OWNER/MEMBER) |
| Authorized Official Contact | 2087622544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherilee C Bloom Dds Pllc 815 W Canfield Ave Coeur D Alene ID 83815-9765 Ph: (108) 762-2544 | Cherilee C Bloom Dds Pllc 815 W Canfield Ave Coeur D Alene ID 83815-9765 Ph: (108) 762-2544 |
| NPI Number | 1083873939 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 04/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083873939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3510 (Idaho) | Primary |
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