Individual
DR. GLEN FRANK PETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
4724 SWEETWATER BOULEVARD, SUITE 103, SUGAR LAND, TX 77479-3150
(281) 313-8890
(281) 313-8895
Mailing address
4724 SWEETWATER BLVD, SUITE 103, SUGAR LAND, TX 77479-3150
(281) 313-8890
(281) 313-8895
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9534
TX
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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