| Yah Ortho Inc | |
|
3821 W Pueblo Blvd Pueblo CO 81005-2713 | |
| (197) 564-6467 | |
| Not Available |
| Full Name | Yah Ortho Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3821 W Pueblo Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | Pawel R Bielecki (OWNER) |
| Authorized Official Contact | 7204351550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yah Ortho Inc 2603 Vinewood Ln Pueblo CO 81005-3370 Ph: (719) 564-6464 | Yah Ortho Inc 3821 W Pueblo Blvd Pueblo CO 81005-2713 Ph: (197) 564-6467 |
| NPI Number | 1114316627 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114316627 | NPI | - | NPPES |
| 31571336 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8809 (Colorado) | Primary |
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