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Contact Information

BRADLEY P CLARK DDS INC
450 SUTTER ST
SUITE 2109
SAN FRANCISCO, CA94108-4206
 Phone: 415-781-2674
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for BRADLEY P CLARK DDS INC

NPI Number 1568732048
LBN Legal business name BRADLEY P CLARK DDS INC
Authorized official BRADLEY CLARK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/30/2011
Last updated 03/07/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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