Individual
DR. PONNIE DAVIS POISAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3973 ATLANTA HWY, STE 100, LOGANVILLE, GA 30052-3750
(770) 466-3114
(770) 466-3777
Mailing address
3973 ATLANTA HWY, STE 100, LOGANVILLE, GA 30052-3750
(770) 466-3114
(770) 466-3777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011261
GA
Other
Enumeration date
06/02/2005
Last updated
07/08/2007
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