Individual
DR. MICHAEL JAMES PERNOUD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1015 WASHINGTON SQ, WASHINGTON, MO 63090-5307
(636) 239-5959
(636) 239-7586
Mailing address
1015 WASHINGTON SQ, WASHINGTON, MO 63090-5307
(636) 239-5959
(636) 239-7586
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12314
MO
Other
Enumeration date
02/26/2006
Last updated
07/08/2007
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