Individual
JOHN LOUIS MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
750 BOARDMAN POLAND RD, MAYO PROFESSIONAL CENTER, YOUNGSTOWN, OH 44512-5137
(330) 758-7501
(330) 758-0890
Mailing address
750 BOARDMAN POLAND RD, MAYO PROFESSIONAL CENTER, YOUNGSTOWN, OH 44512-5137
(330) 758-7501
(330) 758-0890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15478
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0398289
—
OH
Enumeration date
10/02/2006
Last updated
07/08/2007
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