Individual
DR. RUSSELL LEE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1360 W 6TH ST, SUITE J, SAN PEDRO, CA 90732-3514
(310) 548-6589
Mailing address
332 VIA SAN SEBASTIAN, REDONDO BEACH, CA 90277-6658
(310) 548-6589
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
26676
CA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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