Individual
DR. ANGELICA-MARIE MOLINA PUISIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
849 JEFFCO BLVD, ARNOLD, MO 63010-1409
(636) 287-0440
Mailing address
227 MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2015029618
MO
122300000X
Dentist
Primary
2022047123
MO
1223G0001X
General Practice Dentistry
2736
HI
Other
Enumeration date
09/01/2015
Last updated
02/14/2023
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