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Dr. Asha Yamini Ponugoti, DDS
Pediatric Dentist in Grayson, Georgia
NPI 1558569459

Asha Yamini Ponugoti is a Pediatric Dentist based in Grayson, GA and is specialized in Pediatric Dentistry. Asha Yamini Ponugoti practices in Grayson, GA and has the professional credentials of DDS. The NPI Number for Asha Yamini Ponugoti is 1558569459 and holds a License No. DN013843 (Georgia).

The current practice location address for Asha Yamini Ponugoti is 2594 Loganville Hwy, Grayson, GA and can be reached out via phone at 678-682-9819.

Location: 2594 Loganville Hwy, Grayson, GA, 30017-7848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558569459
Provider Name
Asha Yamini Ponugoti
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2594 Loganville Hwy, Grayson, GA, 30017-7848
Phone Number
678-682-9819
Fax Number
Provider Enumeration Date
07/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2594 Loganville Hwy
City
Grayson
State
Georgia
Zip
30017-7848
Phone Number
678-682-9819
Fax Number
person
Provider Business Mailing Address Details
Address
2594 Loganville Hwy
City
Grayson
State
Georgia
Zip
30017-7848
Phone Number
678-682-9819
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN013843 (Georgia)
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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