Individual
DR. MANOGNA KATAKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
400 TEEGARDEN ST, LA PORTE, IN 46350-3175
(219) 718-2708
Mailing address
400 TEEGARDEN ST, LA PORTE, IN 46350-3175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012051A
IN
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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