Bloom, Kerry Mark

Bloom, Kerry Mark is an sole proprietor health care provider with primary practice located at 6560 Fannin St Ste 1434 , Houston TX 77030-2713. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bloom, Kerry Mark can be contacted via phone (713) 795-0130.

Contact Information

Primary practice address
6560 Fannin St Ste 1434 Houston TX 77030-2713
Fax: (713) 795-0470
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10986 Texas

Profile Details

NPI number 1386652402
LBN Legal business name Bloom, Kerry Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
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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