Organization
WEST DOVER DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN GOLEBURN D.M.D. (GENERAL DENTIST)
(302) 734-0330
Entity
Organization
Contact information
Practice address
2 GREENTREE DRIVE, DOVER, DE 19904
(302) 734-0330
Mailing address
2 GREENTREE DRIVE, DOVER, DE 19904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0000965
DE
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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