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Organization

MICHAEL AND ANGELA PERNOUD, DDS, PC

Active
Other names
Hawk Ridge Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGELA K PERNOUD DDS (SECRETARY)
(636) 561-4540
Entity
Organization

Contact information

Practice address
8631 HIGHWAY N, LAKE ST. LOUIS, MO 63367
(636) 561-4540
(636) 561-4601
Mailing address
8631 HIGHWAY N, LAKE ST. LOUIS, MO 63367
(636) 561-4540
(636) 561-4601

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2006021264
MO

Other

Enumeration date
12/14/2007
Last updated
12/14/2007
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