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Contact Information

JENNIFER BODZIAK, DDS
UNM RESIDENCY CLINIC
1801 CAMINO DE SALUD
ALBUQUERQUE, NM87102
 Phone: 505-925-4031
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JENNIFER BODZIAK · (Female)

NPI Number 1457575714
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/11/2007
Last updated 07/05/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 2901017490
  • NM License # DD2048
  • NM Medicaid 64528766
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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