Individual
JOSH MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 662-3580
Mailing address
2400 MELLWOOD AVE APT 420, LOUISVILLE, KY 40206-1064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10672
KY
122300000X
Dentist
DS044342
PA
Other
Enumeration date
10/29/2021
Last updated
06/25/2024
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