NPI 1003038472

Mandy M Newcomer, DDS

Practitioner General Practice Dentistry Edwards, CO

Practice location

Address: 34323 US Hwy 6 C-107, Edwards, CO 81632
Phone: (970) 926-7325
Fax: (970) 926-7327
Mailing address: PO Box 2690, Edwards, CO 81632-2690

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DEN8957 (CO)

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Registry record

NPI: 1003038472
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.