Bloom Dental Group

LBN: 1012 Group, Inc
Bloom Dental Group is an health care organization with primary practice located at 800 S B St Suite #200, San Mateo CA 94401-4271. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 1012 Group, Inc can be contacted via phone (650) 458-3727, or through Bolander, Patti via phone (650) 458-3727.

Contact Information

Primary practice address
800 S B St Suite #200 San Mateo CA 94401-4271
Phone: (650) 458-3727
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bolander, Patti
Phone: (650) 458-3727

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 58767 California

Profile Details

NPI number 1730535774
LBN Legal business name 1012 Group, Inc
DBA Doing business as Bloom Dental Group
Authorized official Bolander, Patti
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2016
Last updated May 9th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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