| NPI | 1487247771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAWEL R BIELECKI Owner 719-696-9009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-02-17 |