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Organization
MARK E. LOVE DMD ,PC
Active
Organization
MARK E. LOVE DMD ,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWIN LOVE DMD (DENTIST)
(256) 332-6073
Entity
Organization
Contact information
Practice address
510 ENGLE DR SE, RUSSELLVILLE, AL 35653-2749
(256) 332-6073
(256) 332-6655
Mailing address
510 ENGLE DR SE, RUSSELLVILLE, AL 35653-2749
(256) 332-6073
(256) 332-6655
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3951
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63-11104550
—
AL
Enumeration date
12/19/2017
Last updated
12/19/2017
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