Individual
DR. SRIDEVI PONNALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
22331 MISSION BLVD, HAYWARD, CA 94541-3911
(510) 471-5880
Mailing address
22331 MISSION BLVD, HAYWARD, CA 94541-3911
(510) 471-5880
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
53026
CA
Other
Enumeration date
11/22/2006
Last updated
04/23/2026
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