Organization
YAH ORTHO INC
Active
Parent organization
YAH ORTHO
Organization subpart
Yes
Provider details
NPI number
Legal business name
YAH ORTHO
Authorized official
PAWEL R BIELECKI DDS (OWNER)
(720) 435-1550
Entity
Organization
Contact information
Practice address
317 W 3RD ST STE 103, LA JUNTA, CO 81050-1401
(719) 564-6467
Mailing address
3821 W PUEBLO BLVD, PUEBLO, CO 81005-2713
(719) 564-6467
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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