Individual
DR. MICHAEL JOSEPH PERNOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
46 S FLORISSANT RD, FERGUSON, MO 63135-2334
(314) 522-6300
Mailing address
185 STONEWALL CREEK DR, DARDENNE PRAIRIE, MO 63368-7594
(314) 440-5189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2006021263
MO
Other
Enumeration date
07/17/2007
Last updated
11/12/2007
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