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
PAWEL R BIELECKI DDS (OWNER)
(719) 696-9009
Entity
Organization
Contact information
Practice address
216 VICTORIA AVE, ALAMOSA, CO 81101-2210
(719) 937-2227
Mailing address
3821 W PUEBLO BLVD, PUEBLO, CO 81005-2713
(179) 564-6467
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31571336
—
CO
Enumeration date
02/17/2021
Last updated
02/17/2021
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