Organization
RYAN C. MAYO, D.D.S & GREGORY C. MAYO D.D.S., P.C.
Active
Parent organization
POTOMAC VALLEY DENTAL CARE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
POTOMAC VALLEY DENTAL CARE, PLLC
Authorized official
DR. GREGORY C MAYO D.D.S. (DENTIST/OWNER)
(703) 777-3510
Entity
Organization
Contact information
Practice address
22 DAVIS AVE SW, LEESBURG, VA 20175-3824
(703) 777-3510
(703) 777-9488
Mailing address
22 DAVIS AVE SW, LEESBURG, VA 20175-3824
(703) 777-3510
(703) 777-9488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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