GLEN H PETTEWAY

SPRINGFIELD, MO
NPI1235322108
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: MO  13801-00673)
Enumeration Date2007-08-23
Last Update Date2007-08-23
Business Address
Dr. GLEN H PETTEWAY DDS
1200 E WOODHURST STE T300
SPRINGFIELD, MO 65804-3784
Phone number: 417-887-7114
Mailing Address
Dr. GLEN H PETTEWAY DDS
1200 E WOODHURST STE T300
SPRINGFIELD, MO 65804-3784
Phone number: 417-887-7114
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