Search › Texas › 122300000X
Glen Petta, DDS
NPI 1912329830 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3201 Preston Hollow Rd
Fort Worth, TX 76109 - Phone
- (817) 312-9273
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas