Juan Faja-Fernandez, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Myrtle Beach, SC. Individual provider (NPI-1).
NPI number1053754127
StatusActive
Last updated in NPPESApr 9, 2013
Details
- NPI
- 1053754127
- Entity type
- Individual (NPI-1)
- Name
- Juan Faja-Fernandez
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2013
- Last updated
- Apr 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 4461 | SC | Yes |
Practice location
107 Surgeons DriveMyrtle Beach, SC 29579
Phone 843-206-1116
Mailing address
Po Box 13799Florence, SC 29504-3799
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All 7 Orthodontics and Dentofacial Orthopedics Dentistry providers in Myrtle Beach · All 3,545 providers in Myrtle Beach
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