Individual
DR. WILLIAM L MASTORAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
10115 MANCHESTER RD, STE 200, ST LOUIS, MO 63122
(314) 966-4117
(314) 966-8630
Mailing address
10115 MANCHESTER RD, STE 200, ST LOUIS, MO 63122
(314) 966-4117
(314) 966-8630
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
013600
MO
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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