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Organization

PEDIATRICS NORTH GLENSTONE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA ESLER (OFFICE MANAGER)
(417) 614-0000
Entity
Organization

Contact information

Practice address
1470 N GLENSTONE AVE, SPRINGFIELD, MO 65802-2132
(417) 614-0000
Mailing address
1470 N GLENSTONE AVE, SPRINGFIELD, MO 65802-2132
(417) 614-0000

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
12/10/2024
Last updated
12/10/2024
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