River Valley Pediatric Dentistry Pllc
NPI #1487775011 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1487775011
- Entity Type
- Organization
- Organization Name
- River Valley Pediatric Dentistry Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Jul 1, 2008
Practice Location
- Address
- 417 S 16TH ST
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72901-4625
- Phone
- (479) 783-4182
Authorized Official
- Name
- DR. TIMOTHY WAYNE LAWRENCE
- Title
- OWNER
- Phone
- (479) 783-4182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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