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:
Health care specialties
| Specialty | Code | License # | 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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