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Srivarsha Ponna
Pediatric Dentist in Bossier City, Louisiana
NPI 1093367153

Srivarsha Ponna is a Pediatric Dentist based in Bossier City, LA and is specialized in Pediatric Dentistry. Srivarsha Ponna practices in Bossier City, LA. The NPI Number for Srivarsha Ponna is 1093367153 and holds a License No. 7352 (Louisiana).

The current practice location address for Srivarsha Ponna is 2285 Benton Rd Ste C100, Bossier City, LA and can be reached out via phone at 318-742-9333. You can also correspond with Srivarsha Ponna through the mailing address at 2285 BENTON RD STE C100, BOSSIER CITY, LA - 71111-3465 (mailing address contact number: 318-742-9333).

Location: 2285 Benton Rd Ste C100, Bossier City, LA, 71111-3465
person
Provider Profile Details
NPI Number
1093367153
Provider Name
Srivarsha Ponna
Credential
Provider Entity Type
Individual
Gender
Female
Address
2285 Benton Rd Ste C100, Bossier City, LA, 71111-3465
Phone Number
318-742-9333
Fax Number
Provider Enumeration Date
07/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2285 Benton Rd Ste C100
City
State
Zip
71111-3465
Phone Number
318-742-9333
Fax Number
person
Provider Business Mailing Address Details
Address
2285 Benton Rd Ste C100
City
State
Zip
71111-3465
Phone Number
318-742-9333
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
7352 (Louisiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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