DR. Bradley J Clark, DDS
NPI #1114052966 in Broken Bow, Nebraska
Provider Information
- NPI Number
- 1114052966
- Entity Type
- Individual
- Name
- DR. Bradley J Clark, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 310 S 9TH AVE
- City
- Broken Bow
- State
- Nebraska
- ZIP Code
- 68822-2014
- Phone
- (308) 872-2575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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