BRADLEY J CLARK

BROKEN BOW, NE
NPI1114052966
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NE  6126)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
Dr. BRADLEY J CLARK DDS
310 S 9TH AVE
BROKEN BOW, NE 68822-2014
Phone number: 308-872-2575
Mailing Address
Dr. BRADLEY J CLARK DDS
PO BOX 117 310 SOUTH 9TH AVE.
BROKEN BOW, NE 68822-0117
Phone number: 308-872-2575