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

TaxonomyCodeLicense
Periodontics Primary 1223P0300X26676 (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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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.