DR. Asha Yamini Ponugoti, DDS

NPI #1558569459 in Grayson, Georgia

Provider Information

NPI Number
1558569459
Entity Type
Individual
Name
DR. Asha Yamini Ponugoti, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
Jul 3, 2007
Last Updated
Jan 15, 2013

Practice Location

Address
2594 LOGANVILLE HWY
Address 2
SUITE 106
State
Georgia
ZIP Code
30017-7848
Phone
(678) 682-9819

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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