| NPI | 1154879344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAWEL ROBERT BIELECKI Ow 719-924-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 8809) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |