Individual
DR. CHARLES JACKSON LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2124 CORNELL RD, RM. DOA09M - DEPT. OF COMPREHENSIVE CARE - SCHOOL OF DE, CLEVELAND, OH 44106-3804
(216) 368-5210
Mailing address
2124 CORNELL RD, RM. DOA09M - DEPT. OF COMPREHENSIVE CARE - SCHOOL OF DE, CLEVELAND, OH 44106-3804
(216) 368-5210
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
11229
OH
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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