River Valley Primary Care Services

NPI #1285208827 in Lavaca, Arkansas

Provider Information

NPI Number: 1285208827
Entity Type: Organization
Organization Name: River Valley Primary Care Services
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 18, 2021
Last Updated: May 18, 2021

Practice Location

Address: 603 S DIVISION ST
City: Lavaca
State: Arkansas
ZIP Code: 72941-4129
Phone: (479) 279-7683

Authorized Official

Name: JEROME J WHITE
Title: CEO
Phone: (479) 431-2057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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