Russellville Dental Care, P.c.
NPI #1083883276 in Russellville, Alabama
Provider Information
- NPI Number
- 1083883276
- Entity Type
- Organization
- Organization Name
- Russellville Dental Care, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 21, 2008
- Last Updated
- Feb 21, 2008
Practice Location
- Address
- 510 ENGLE DR SE
- City
- Russellville
- State
- Alabama
- ZIP Code
- 35653-2749
- Phone
- (256) 332-6073
Authorized Official
- Name
- DR. MARK EDWIN LOVE, D.M.D.
- Title
- PRESIDENT
- Phone
- (256) 332-6073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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