1303 MAIN ST #2, PORT JEFFERSON, 11777, NEW YORK
| Entity Name | MITCHELL J. BLOOM, D.M.D., P.C. |
| Entity Number | 3156316 |
| Status | ACTIVE |
| Incorporation Date | 27th January 2005 |
| Dos Process Address | 2 WASHINGTON SQ VILLAGE, NEW YORK, 10012, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |