IndividualActive
Kalyana Ponangi, DMD
NPI 1730749888 · Dentist · Luling, TX
Provider details
- NPI number
- 1730749888
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 39423 (TX)
Specialties & taxonomies
Dental Providers
Practice location
651 E Crockett St
Luling, TX 78648-2602
Phone: (830) 875-6603
Approximate (ZIP-level) locationGet directions
Mailing address
11708 Johnny Weismuller Ln
Austin, TX 78748-2975
Registry dates
- Enumerated
- 2019-06-19
- Last updated
- 2024-05-10
- Certified
- 2024-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.