Individual
MANDY M NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
34323 US HWY 6 C-107, EDWARDS, CO 81632
(970) 926-7325
(970) 926-7327
Mailing address
PO BOX 2690, EDWARDS, CO 81632-2690
(970) 926-7325
(970) 926-7327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN8957
CO
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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