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1356700181
GLEN H PETTEWAY, D.D.S., P.C.
SPRINGFIELD, MO
NPI
1356700181
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Entity Type
Organization
Authorized Contact
GLEN H PETTEWAY
Owner
417-887-7114
Organization Subpart ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: MO 13801)
Enumeration Date
2016-02-22
Last Update Date
2016-02-22
Business Address
GLEN H PETTEWAY, D.D.S., P.C.
1200 E WOODHURST DR BLD T, SUITE 300
SPRINGFIELD, MO 65804-4261
Phone number: 417-887-7114
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Mailing Address
GLEN H PETTEWAY, D.D.S., P.C.
1200 E WOODHURST DR BLD T, SUITE 300
SPRINGFIELD, MO 65804-4261
Phone number: 417-887-7114
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