William L Mastorakos DDS MS

NPI 1063527604 - Dentist - 1223X0400X

NPI Details
NPI 1063527604
Gender Male
Enumeration Date 08/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
10115 MANCHESTER RD
STE 200
ST LOUIS MO, 63122, US
Phone (314) 966-4117
Fax (314) 966-8630
Business Location
10115 MANCHESTER RD
STE 200
ST LOUIS MO, 63122, US
Phone (314) 966-4117
Fax (314) 966-8630
Toxanomy
Taxonomy Code 1223X0400X
License State Missouri
License Number 013600
Remove 1063527604 NPI Number
 

According to our database, Dr. William L Mastorakos DDS MS NPI is 1063527604, taxonomy code is 1223X0400X and license number is 013600, license state is located at Missouri. William L Mastorakos DDS MS physically located at 10115 Manchester Rd, St Louis MO, 63122. NPI Number William L Mastorakos DDS MS has the Individual type.

Sponsored links

1063527604 NPI number is provided on an as is basis without warranty of any kind. 1063527604 is maintained by the National Plan & Provider Enumeration System. The contents of William L Mastorakos DDS MS are for informational purposes only.