Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SRIDEVI PONNALA, DDS
ActiveDR. SRIDEVI PONNALA, DDS is a Dental Public Health healthcare provider located in HAYWARD, California. NPI 1841365863 is currently active in the NPPES registry. Verify at CMS.
Dental Public Health · HAYWARD, CA
Registration Details
- NPI Number
- 1841365863
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 22, 2006 (19.770839973218 yrs)
- Last Updated
- Sep 8, 2016
- License
-
53026 (CA)
Practice Information
- Address
-
22331 MISSION BLVDHAYWARD, CA, 945413911Browse CA providers · Browse ZIP 94541
- Phone
- 5104715907
- Fax
- 5103241359
- Primary Specialty
-
Dental Public Health
1223D0001X
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.