Individual provider · Type 1 NPI
Russell Lee Love, DDS
Periodontics · San Pedro, CA
NPI number
1629092176
Active
Practice location
1360 W 6th St, Suite J
San Pedro, CA 90732-3514
Mailing address
332 Via San Sebastian
Redondo Beach, CA 90277-6658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 26676 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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Other periodontics providers in San Pedro
About NPI 1629092176
Russell Lee Love, DDS's National Provider Identifier is 1629092176, issued on Jul 27, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Pedro, CA. The record was last updated on Jul 8, 2007.