Individual
HOMER R TOURKAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3613 RICHARDSON SQUARE DR, SUITE 100, ARNOLD, MO 63010-6027
(636) 461-0093
Mailing address
3613 RICHARDSON SQUARE DR, SUITE 100, ARNOLD, MO 63010-6027
(636) 461-0093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14159
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402015507
—
MO
Enumeration date
11/09/2005
Last updated
08/10/2009
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