Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ketan Jagjivan Mistry

Individual provider General Practice Dentistry · NPI 1104747922

Dr. Ketan Jagjivan Mistry is a General Practice Dentistry in San Diego, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

3737 Moraga Ave Ste B309
San Diego, CA 92117-5478
Phone: (858) 581-3641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 110915 (CA)

Record details

NPI number1104747922
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 25, 2026
Last updated in NPPESJuly 25, 2026
Certification dateJuly 25, 2026

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