Organization
RUSSELLVILLE DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWIN LOVE D.M.D. (PRESIDENT)
(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
1223G0001X
General Practice Dentistry
Primary
AL3951
AL
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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