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Antoniette Ponewash

NPI 1134749948 · on the registry since 2020 · sole proprietor

Practice

Address
525 N Galloway Ave
Mesquite, TX 75149
Phone
(972) 289-1300
Fax
(972) 289-9308
Organisation at this address
Kroger Texas L P
Happy Teeth Dental Centers Of Mesquite Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas