Organization
BRADLEY P CLARK DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY P CLARK DDS (PRESIDENT)
(416) 781-2674
Entity
Organization
Contact information
Practice address
450 SUTTER ST, SUITE 2109, SAN FRANCISCO, CA 94108-4206
(415) 781-2674
Mailing address
450 SUTTER ST, SUITE 2109, SAN FRANCISCO, CA 94108-4206
(415) 781-2674
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/30/2011
Last updated
03/07/2023
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