Individual
DR. JOHN PASTOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3445 PHEASANT MEADOW DR, O FALLON, MO 63368-7324
(636) 240-0232
(636) 240-0368
Mailing address
3445 PHEASANT MEADOW DR, O FALLON, MO 63368-7324
(636) 240-0232
(636) 240-0368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2013014064
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2012
Last updated
01/14/2020
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