Thomas Michael Gotsis, DDS Valid NPI
Individual provider · General Practice Dentistry · Bridgeton, MO
- NPI
- 1871696203
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DE015476 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-09-07
- Last updated
- 2011-02-03
Practice location
12266 Depaul Dr, Ste 325
Bridgeton, MO 63044
(314) 291-9000