Organization
PAWEL R BIELECKI, DDS, PC
Active
Other names
Young at Heart Dentistry La Junta
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R HERRERA (BUSINESS MANAGER)
(719) 696-9009
Entity
Organization
Contact information
Practice address
317 W 3RD ST, LA JUNTA, CO 81050-1401
(719) 733-3303
Mailing address
2041 PEPPER LN, PUEBLO, CO 81005-3276
(719) 696-9009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
05/05/2020
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