Individual
DR. KEVIN LAMONT GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PLLC
Contact information
Practice address
9570 BURKE RD STE A, BURKE, VA 22015-3152
(703) 425-8948
(703) 425-4775
Mailing address
9570 BURKE RD STE A, BURKE, VA 22015-3152
(703) 425-8948
(703) 425-4775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008764
VA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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