Most Relevant Information
Provider Data
| NPI Number: | 1003038472 |
| Provider Name: | MANDY M NEWCOMER D.D.S |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DEN8957 |
Most Important Dates
| Enumeration Date: | 05/03/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
34323 US HWY 6 C-107
EDWARDS
CO
81632
Practice Location Phone/Fax
| Phone: | 9709267325 |
| Fax: | 9709267327 |
Provider Mailing Location
PO BOX 2690
EDWARDS
CO
816322690
Provider Mailing Phone/Fax
| Phone: | 9709267325 |
| Fax: | 9709267327 |