Individual
DR. KALYAN KATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1049 MAIN STREET, SPRINGFIELD, MA 01103
(413) 304-4606
(413) 737-3608
Mailing address
1049 MAIN STREET, SPRINGFIELD, MA 01103
(413) 304-4606
(413) 737-3608
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856342
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028120
—
MA
Enumeration date
07/02/2013
Last updated
11/03/2015
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