Organization
DENTAL TEAM OF LONGMONT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE LEONARD (OWNER)
(719) 210-9997
Entity
Organization
Contact information
Practice address
630 15TH AVE STE 104, LONGMONT, CO 80501-2764
(720) 466-5063
Mailing address
630 15TH AVE STE 104, LONGMONT, CO 80501-2764
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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