Provider Demographics
NPI:1891110763
Name:BLUMA, WERONIKA PAULINA (DMD)
Entity Type:Individual
Prefix:
First Name:WERONIKA
Middle Name:PAULINA
Last Name:BLUMA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 ALEXANDRA CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNT BETHEL
Mailing Address - State:PA
Mailing Address - Zip Code:18343-5782
Mailing Address - Country:US
Mailing Address - Phone:718-704-7904
Mailing Address - Fax:
Practice Address - Street 1:BARTONSVILLE FAMILY DENTAL
Practice Address - Street 2:3578 PA-611 #245
Practice Address - City:BARTONSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18321-1832
Practice Address - Country:US
Practice Address - Phone:570-421-2422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-28
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0410121223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery