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NPI 1578061925

OrganizationActive

Bloom Pediatric Dentistry, PLLC

NPI 1578061925 · Pediatric Dentistry · Chandler, AZ

Provider details

NPI number: 1578061925
Entity type: Organization
Primary specialty: Pediatric DentistryDental Providers
Authorized official: Janelle Lee, Pediatric Dentist/ Owner
License: D009485 (AZ)

Practice location

1900 W Germann Rd Ste 3

Chandler, AZ 85286-6838

Phone: (480) 867-7355

Fax: (480) 907-1888

More AZ providers

Mailing address

1900 W Germann Rd Ste 3

Chandler, AZ 85286-6838

Registry dates

Enumerated: 2018-01-30
Last updated: 2018-01-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bloom Pediatric Dentistry, PLLC — NPI 1578061925, Chandler, AZ | NPI Central