Provider Demographics
NPI:1437440286
Name:UJDA, KATARZYNA (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATARZYNA
Middle Name:
Last Name:UJDA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:PIEKARSKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2019 GALISTEO ST STE L2
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-2112
Mailing Address - Country:US
Mailing Address - Phone:505-982-9222
Mailing Address - Fax:505-982-7114
Practice Address - Street 1:2019 GALISTEO ST STE L2
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-2112
Practice Address - Country:US
Practice Address - Phone:505-982-9222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD36651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice