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1558199257
PONGSAKORN POOVARODOM
CHARLESTON, SC
NPI
1558199257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: SC 60)
Enumeration Date
2024-07-24
Last Update Date
2024-07-24
Business Address
Dr. PONGSAKORN POOVARODOM DDS, MSc, PhD
173 ASHLEY AVE # MSC507
CHARLESTON, SC 29425-8908
Phone number: 843-792-3811
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Mailing Address
Dr. PONGSAKORN POOVARODOM DDS, MSc, PhD
3489 BILLINGS ST
MOUNT PLEASANT, SC 29466-6882
Phone number: 854-858-2195
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