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Individual
DR. PONGSAKORN POOVARODOM
Active
Individual
DR. PONGSAKORN POOVARODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSC, PHD
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
60
SC
1223P0700X
Prosthodontics
Primary
884
FL
Other
Enumeration date
07/24/2024
Last updated
08/26/2026
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