Individual
DR. KETKI SOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4201 WESTOWN PKWY STE 118, WEST DES MOINES, IA 50266-6720
(515) 223-1213
Mailing address
4201 WESTOWN PKWY STE 118, WEST DES MOINES, IA 50266-6720
(515) 223-1213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09954
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
07/26/2022
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