Individual
CHESTER MAYO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
477 VIKING DR STE 215, VIRGINIA BEACH, VA 23452-7349
(757) 486-5428
(757) 486-4826
Mailing address
477 VIKING DR STE 215, VIRGINIA BEACH, VA 23452-7349
(757) 486-5428
(757) 486-4826
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401414834
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2015
Last updated
07/29/2019
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