John Pastorek, DMD Valid NPI

Individual provider · General Practice Dentistry · O Fallon, MO

NPI

1801155874

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

2013014064 (MO)

Sex

Male

Sole proprietor

Yes

Enumerated

2012-05-11

Last updated

2020-01-14