Individual
LUKE KOMOTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1009 HIGHWAY C, NEW HAVEN, MO 63068-1425
(573) 237-3038
Mailing address
873 GREELEY AVE, WEBSTER GROVES, MO 63119-2070
(314) 960-7160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2022018791
MO
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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