DR. Viraj Mohan Ketkar, DDS

NPI #1942041306 in Michigan City, Indiana

Provider Information

NPI Number: 1942041306
Entity Type: Individual
Name: DR. Viraj Mohan Ketkar, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 1, 2024
Last Updated: Jul 17, 2024

Practice Location

Address: 5240 FRANKLIN ST
City: Michigan City
State: Indiana
ZIP Code: 46360-7372
Phone: (219) 873-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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