Organization
MOUNTAIN STREAM DENTAL CARE PLLC
Active
Other names
Timberland Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEILA MACARIO DMD (GENERAL DENTIST)
(954) 599-9530
Entity
Organization
Contact information
Practice address
791 W KELLY RD, WOODLAND PARK, CO 80863-3014
(719) 687-9011
Mailing address
791 W KELLY RD, WOODLAND PARK, CO 80863-3014
(719) 687-9011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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