Organization
SLEEPY TOOTH ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN GOLEBURN DMD (PARTNER)
(302) 836-3750
Entity
Organization
Contact information
Practice address
26670 CENTERVIEW DR UNIT 19, MILLSBORO, DE 19966-3584
(302) 297-3750
Mailing address
1250 PEOPLES PLZ, NEWARK, DE 19702-5701
(302) 392-2449
(302) 392-2499
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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