Individual
DR. BOLLAMMA POONACHA PUCHIMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MSD
Contact information
Practice address
8839 CULEBRA RD STE 105, SAN ANTONIO, TX 78251-4825
(210) 762-6778
Mailing address
2517 OAK VALLEY DR APT 205, ANN ARBOR, MI 48103-8603
(508) 446-2707
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901022163
MI
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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