GLEN H PETTEWAY, D.D.S., P.C.

SPRINGFIELD, MO
NPI1356700181
Entity TypeOrganization
Authorized ContactGLEN H PETTEWAY
Owner
417-887-7114
Organization Subpart ?No
Primary Taxonomy1223P0700X Dentist Prosthodontics
(Licence: MO  13801)
Enumeration Date2016-02-22
Last Update Date2016-02-22
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
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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