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Mark E. Love Dmd ,pc
Dental Clinic/Center in Russellville, Alabama
NPI 1063928653

Mark E. Love Dmd ,pc is a Dental Clinic/Center based in Russellville, AL and is specialized in Dental. Mark E. Love Dmd ,pc practices in Russellville, AL. The NPI Number for Mark E. Love Dmd ,pc is 1063928653 and holds a License No. 3951 (Alabama).

The current practice location address for Mark E. Love Dmd ,pc is 510 Engle Dr Se, Russellville, AL and can be reached out via phone at 256-332-6073 and via fax at 256-332-6655.

Location: 510 Engle Dr Se, Russellville, AL, 35653-2749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063928653
Provider Name
Mark E. Love Dmd ,pc
Credential
Provider Entity Type
Organization
Address
510 Engle Dr Se, Russellville, AL, 35653-2749
Phone Number
256-332-6073
Fax Number
256-332-6655
Provider Enumeration Date
12/19/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
63-11104550 05 AL
institution
Provider Business Practice Location Address Details
Address
510 Engle Dr Se
City
Russellville
State
Alabama
Zip
35653-2749
Phone Number
256-332-6073
Fax Number
256-332-6655
person
Provider Business Mailing Address Details
Address
510 Engle Dr Se
City
Russellville
State
Alabama
Zip
35653-2749
Phone Number
256-332-6073
Fax Number
256-332-6655
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
3951 (Alabama)
Definition
Definition to come...
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