Individual
KELLY MIKA KATSURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 TELEGRAPH AVE STE 101, BERKELEY, CA 94704-3374
(510) 848-6494
Mailing address
2640 TELEGRAPH AVE STE 101, BERKELEY, CA 94704-3374
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS107420
CA
Other
Enumeration date
03/10/2021
Last updated
10/10/2025
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