DR. BRADLEY CLARK, DDS
Dentist - General Practice
Active
Individual
NPI: 1114052966
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 6126 (NE) |
Frequently Asked Questions
NPI 1114052966 is the National Provider Identifier for DR. BRADLEY CLARK, DDS, a Dentist - General Practice provider located in Broken Bow, NE. This NPI was enumerated on February 22, 2007.
DR. BRADLEY CLARK, DDS practices at 310 S 9TH AVE, Broken Bow, NE 68822.
Quick Facts
- NPI
- 1114052966
- Type
- Individual
- Enumerated
- Feb 22, 2007
- Last Updated
- Jul 8, 2007
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