Organization
YAH ORTHO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAWEL R BIELECKI DDS (OWNER)
(720) 435-1550
Entity
Organization
Contact information
Practice address
3821 W PUEBLO BLVD, PUEBLO, CO 81005-2713
(197) 564-6467
Mailing address
2603 VINEWOOD LN, PUEBLO, CO 81005-3370
(719) 564-6464
(719) 564-1888
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8809
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31571336
—
CO
Enumeration date
01/21/2015
Last updated
02/17/2021
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