Individual
CHAD LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 148, HAGERSTOWN, MD 21742-6755
(240) 313-9660
Mailing address
21023 TASKER LN, BOONSBORO, MD 21713-1653
(301) 401-0776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17502
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2022
Last updated
07/18/2023
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