Organization
PDSC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAWEL ROBERT BIELECKI DDS (OW)
(719) 924-8535
Entity
Organization
Contact information
Practice address
2041 PEPPER LN, PUEBLO, CO 81005-3276
(719) 564-6464
Mailing address
2603 VINEWOOD LN, PUEBLO, CO 81005-3370
(719) 924-8535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8809
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8809
STATE OF COLORADO BOARD OF EXAMINERS
CO
Enumeration date
09/15/2016
Last updated
09/15/2016
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