Individual
STACY LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 526-7870
(419) 526-4911
Mailing address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 526-7870
(419) 526-4911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30022172
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2570016
—
OH
Enumeration date
01/31/2006
Last updated
07/29/2010
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