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1487768503
PETER ELLIS GLATZ
SPRINGFIELD, IL
NPI
1487768503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-016876)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
Dr. PETER ELLIS GLATZ DDS
3013 S 6TH ST
SPRINGFIELD, IL 62703-4065
Phone number: 217-525-8444
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Mailing Address
Dr. PETER ELLIS GLATZ DDS
3013 S 6TH ST
SPRINGFIELD, IL 62703-4065
Phone number: 217-525-8444
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