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Individual

DR. DANIEL PERNOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
12401 OLIVE BLVD STE 200, CREVE COEUR, MO 63141-5448
(314) 275-9009
Mailing address
12401 OLIVE BLVD STE 200, CREVE COEUR, MO 63141-5448
(314) 275-9009

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2012015446
MO

Other

Enumeration date
05/24/2012
Last updated
06/25/2013
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