Individual provider · Type 1 NPI

Ketan Jagjivan Mistry

General Practice Dentistry · San Diego, CA

NPI number 1104747922 Active

Practice location

3737 Moraga Ave Ste B309
San Diego, CA 92117-5478

Call (858) 581-3641 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X110915 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1104747922

Ketan Jagjivan Mistry's National Provider Identifier is 1104747922, issued on Jul 25, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Diego, CA. The record was last updated on Jul 25, 2026.