Individual
ALYSSA A PHINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3009 WINGHAVEN BLVD, O FALLON, MO 63368-3600
(636) 561-5160
(636) 561-4069
Mailing address
3009 WINGHAVEN BLVD, O FALLON, MO 63368-3600
(636) 561-5160
(636) 561-4069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2017022419
MO
Other
Enumeration date
06/30/2017
Last updated
07/21/2022
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