Ponna, Srivarsha

Ponna, Srivarsha is an individual health care provider with primary practice located at 2285 Benton Rd Ste C100 , Bossier City LA 71111-3465. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Ponna, Srivarsha can be contacted via phone (318) 742-9333.

Contact Information

Primary practice address
2285 Benton Rd Ste C100 Bossier City LA 71111-3465
Phone: (318) 742-9333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7352 Louisiana

Profile Details

NPI number 1093367153
LBN Legal business name Ponna, Srivarsha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2019
Last updated Nov 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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