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Organization
KPU DENTAL LLC
Active
Organization
KPU DENTAL LLC
Active
Other names
Milagro Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATARZYNA UJDA DDS (DENTIST OWNER)
(505) 982-9222
Entity
Organization
Contact information
Practice address
2019 GALISTEO ST STE L2, SANTA FE, NM 87505-2112
(505) 982-9222
(505) 982-7114
Mailing address
2019 GALISTEO ST STE L2, SANTA FE, NM 87505-2112
(505) 982-9222
(505) 982-7114
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD3665
DENTAL LICENSE
NM
Enumeration date
08/11/2019
Last updated
08/11/2019
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