NPI 1124456926

Manogna Katakam, DDS

Practitioner Dentist La Porte, IN

Practice location

Address: 400 Teegarden St, La Porte, IN 46350-3175
Phone: (219) 718-2708

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 12012051A (IN)

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Registry record

NPI: 1124456926
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2013
Record last updated: 15 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.