KELLY MIKA KATSURA

BERKELEY, CA
NPI1598340622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: CA  DDS107420)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-10
Last Update Date2023-07-13
Business Address
KELLY MIKA KATSURA
2640 TELEGRAPH AVE
BERKELEY, CA 94704-3374
Phone number: 510-848-6494
Mailing Address
KELLY MIKA KATSURA
86-260 FARRINGTON HWY
WAIANAE, HI 96792-3128
Phone number: