Yah Ortho INC
Dentist, Orthodontics and Dentofacial Orthopedics in Canon City, CO. Organization (NPI-2).
NPI number1033045679
StatusActive
Last updated in NPPESJun 22, 2026
Details
- NPI
- 1033045679
- Entity type
- Organization (NPI-2)
- Legal business name
- Yah Ortho INC
- Organization subpart
- Yes
- Enumeration date
- Jun 22, 2026
- Certification date
- Jun 22, 2026
- Last updated
- Jun 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Practice location
1201 Royal Gorge Blvd Ste ACanon City, CO 81212-3835
Phone 719-564-6464
Mailing address
3821 W Pueblo BlvdPueblo, CO 81005-2713
Authorized official
Renee Constuble
Business Manager
7195646464
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