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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