River Valley Oral and Maxillofacial Surgery Clinic Ltd

NPI #1235250200 in Moline, Illinois

Provider Information

NPI Number
1235250200
Entity Type
Organization
Organization Name
River Valley Oral and Maxillofacial Surgery Clinic Ltd
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Apr 3, 2007
Last Updated
Sep 24, 2020

Practice Location

Address
930 16TH AVE
City
Moline
ZIP Code
61265
Phone
(309) 797-1770

Authorized Official

Name
DR. BRADLEY J LUTCHKA, DMD MD
Title
ORAL SURGEON
Phone
(309) 797-1770

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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