Clark, Bradley
Clark, Bradley is an sole proprietor health care provider with primary practice located at 450 Sutter St Suite 2109, San Francisco CA 94108-4206. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Clark, Bradley can be contacted via phone (415) 781-2674.Contact Information
Primary practice address
450 Sutter St Suite 2109
San Francisco CA 94108-4206
Phone: (415) 781-2674
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | CA26825 | California |
Profile Details
| NPI number | 1407252679 |
|---|---|
| LBN Legal business name | Clark, Bradley |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2014 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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