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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SRIVARSHA PONNA

Active

SRIVARSHA PONNA is a Pediatric Dentistry healthcare provider located in BOSSIER CITY, Louisiana. NPI 1093367153 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · BOSSIER CITY, LA

Registration Details

NPI Number
1093367153
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2019 (6.9134736808775 yrs)
Last Updated
Nov 29, 2022
License
7352 (LA)

Practice Information

Address
2285 BENTON RD STE C100
BOSSIER CITY, LA, 711113465
Browse LA providers · Browse ZIP 71111
Phone
3187429333
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in BOSSIER CITY, LA

Name Credential NPI
ERIC J LEBLANC DDS 1093711368
DR. MICAHEL JASON GAMBILL D.D.S. 1023454071
DR. ALEXANDER JACOB ZIEGLER DDS 1154851145
JU YONG LEE DDS 1245886894
DR. NANCY DINH LY DDS 1134743990
DR. JORDAN TRUONG DMD 1902535743
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.