Organization
THOMAS GOTSIS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M GOTSIS DDS (PRESIDENT/OWNER)
(314) 291-9000
Entity
Organization
Contact information
Practice address
12266 DE PAUL DR, #325, BRIDGETON, MO 63044-2514
(314) 291-9000
(314) 291-0590
Mailing address
12266 DE PAUL DR, #325, BRIDGETON, MO 63044-2514
(314) 291-9000
(314) 291-0590
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
DE0154076
MO
Other
Enumeration date
01/04/2011
Last updated
02/08/2011
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