Individual
DR. JOHN POGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
850 WOODBRIDGE CENTER DRIVE, WOODBRIDGE, NJ 07095
(732) 636-3220
(732) 636-2269
Mailing address
31 THOMPSON PLACE, PARLIN, NJ 08859
(732) 673-4478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01438200
NJ
1223D0001X
Public Health Dentistry
22DI01438200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60006691
—
NJ
Enumeration date
12/28/2006
Last updated
02/25/2012
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