Michael and Angela Pernoud, Dds, PC

NPI #1013190875 in Lake St. Louis, Missouri

Provider Information

NPI Number: 1013190875
Entity Type: Organization
Organization Name: Michael and Angela Pernoud, Dds, PC
Primary Specialty: Dentist
Enumeration Date: Dec 14, 2007
Last Updated: Dec 14, 2007

Practice Location

Address: 8631 HIGHWAY N
City: Lake St. Louis
State: Missouri
ZIP Code: 63367
Phone: (636) 561-4540

Authorized Official

Name: DR. ANGELA K PERNOUD, DDS
Title: SECRETARY
Phone: (636) 561-4540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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