Individual
DR. MARK E LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
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
3951
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009940544
—
AL
Enumeration date
02/20/2007
Last updated
12/11/2012
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