| Pdsc Pc | |
|
2041 Pepper Ln Pueblo CO 81005-3276 | |
| (719) 564-6464 | |
| Not Available |
| Full Name | Pdsc Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2041 Pepper Ln, Pueblo, Colorado |
| Authorized Official Name and Position | Pawel Robert Bielecki (OW) |
| Authorized Official Contact | 7199248535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdsc Pc 2603 Vinewood Ln Pueblo CO 81005-3370 Ph: (719) 924-8535 | Pdsc Pc 2041 Pepper Ln Pueblo CO 81005-3276 Ph: (719) 564-6464 |
| NPI Number | 1154879344 |
|---|---|
| Provider Enumeration Date | 09/15/2016 |
| Last Update Date | 09/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154879344 | NPI | - | NPPES |
| 8809 | Other | CO | STATE OF COLORADO BOARD OF EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8809 (Colorado) | Primary |
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