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SRIVARSHA PONNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 OLD SETTLERS RD, FLOWER MOUND, TX 75022-4728
(972) 724-1617
Mailing address
14723 WHIPPOORWILL LN, FRISCO, TX 75035-1997
(917) 348-8055

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
38367
TX
1223P0221X
Pediatric Dentistry
Primary
7352
LA

Other

Enumeration date
07/09/2019
Last updated
06/18/2026
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