SRIVARSHA PONNA

BOSSIER CITY, LA
NPI1093367153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: LA  7352)
Enumeration Date2019-07-09
Last Update Date2022-11-29
Business Address
SRIVARSHA PONNA
2285 BENTON RD STE C100
BOSSIER CITY, LA 71111-3465
Phone number: 318-742-9333
Mailing Address
SRIVARSHA PONNA
2285 BENTON RD STE C100
BOSSIER CITY, LA 71111-3465
Phone number: 318-742-9333
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