Organization
YAH ORTHO INC
Active
Organization
YAH ORTHO INC
Active
Parent organization
YAH ORTHO INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
YAH ORTHO INC
Authorized official
RENEE CONSTUBLE (BUSINESS MANAGER)
(719) 564-6464
Entity
Organization
Contact information
Practice address
1201 ROYAL GORGE BLVD STE A, CANON CITY, CO 81212-3835
(719) 564-6464
Mailing address
3821 W PUEBLO BLVD, PUEBLO, CO 81005-2713
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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