Bloom, Craig Yale
Bloom, Craig Yale is an individual health care provider with primary practice located at 2522 Dana St Suite 202, Berkeley CA 94704-2803. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bloom, Craig Yale can be contacted via phone (510) 848-1055.Contact Information
Primary practice address
2522 Dana St Suite 202
Berkeley CA 94704-2803
Phone: (510) 848-1055
Fax: (510) 848-9100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 31571 | California |
Profile Details
| NPI number | 1841344751 |
|---|---|
| LBN Legal business name | Bloom, Craig Yale |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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