Mastorakos, William L

Mastorakos, William L is an individual health care provider with primary practice located at 10115 Manchester Rd Ste 200, St Louis MO 63122. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mastorakos, William L can be contacted via phone (314) 966-4117.

Contact Information

Primary practice address
10115 Manchester Rd Ste 200 St Louis MO 63122
Phone: (314) 966-4117
Fax: (314) 966-8630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 013600 Missouri

Profile Details

NPI number 1063527604
LBN Legal business name Mastorakos, William L
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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