# BRADLEY P CLARK DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568732048
- **Authorized official:** DR. BRADLEY P CLARK DDS (PRESIDENT)
- **Authorized official phone:** (416) 781-2674

## Contact information

- **Practice address:** 450 SUTTER ST, SUITE 2109, SAN FRANCISCO, CA 94108-4206
- **Practice address phone:** (415) 781-2674
- **Mailing address:** 450 SUTTER ST, SUITE 2109, SAN FRANCISCO, CA 94108-4206
- **Mailing address phone:** (415) 781-2674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2011
- **Last updated:** 03/07/2023