Dr. Angelina Anisimova, DDS
Dentist in Saint Peters, MO. Individual provider (NPI-1).
NPI number1831238096
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1831238096
- Entity type
- Individual (NPI-1)
- Name
- Dr. Angelina Anisimova
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2003013493 | MO | Yes |
Practice location
589 Mid Rivers Mall DrSaint Peters, MO 63376-2152
Phone 636-970-1595 · Fax 636-279-1117
Mailing address
589 Mid Rivers Mall DrSaint Peters, MO 63376-2152
Phone 636-970-1595 · Fax 636-279-1117
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