Alyssa A Phinney Valid NPI
Individual provider · Dentist · O Fallon, MO
- NPI
- 1093236937
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 2017022419 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-06-30
- Last updated
- 2022-07-21
Practice location
3009 Winghaven Blvd
O Fallon, MO 63368-3600
(636) 561-5160