| Thomas E Love, D.d.s., A.p.c. | |
|
401 29th St Suite 211 Oakland CA 94609-3519 | |
| (510) 452-0110 | |
| Not Available |
| Full Name | Thomas E Love, D.d.s., A.p.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 401 29th St, Oakland, California |
| Authorized Official Name and Position | Thomas E Love (OWNER) |
| Authorized Official Contact | 5104520110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E Love, D.d.s., A.p.c. 401 29th St Suite 211 Oakland CA 94609-3519 Ph: (510) 452-0110 | Thomas E Love, D.d.s., A.p.c. 401 29th St Suite 211 Oakland CA 94609-3519 Ph: (510) 452-0110 |
| NPI Number | 1679620298 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679620298 | NPI | - | NPPES |
| B19512-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D19512 (California) | Primary |
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