Jefferson Comprehensive Care System INC
NPI #1023277746 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1023277746
- Entity Type
- Organization
- Organization Name
- Jefferson Comprehensive Care System INC
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 6, 2008
- Last Updated
- Jun 6, 2008
Practice Location
- Address
- 1101 TENNESSEE ST
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71601-5801
- Phone
- (870) 543-2341
Authorized Official
- Name
- MR. LARNELL W DAVIS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (870) 543-2380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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