Seabreeze Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Myrtle Beach, SC. Organization (NPI-2).
NPI number1821708595
StatusActive
Last updated in NPPESDec 2, 2022
Details
- NPI
- 1821708595
- Entity type
- Organization (NPI-2)
- Legal business name
- Seabreeze Orthodontics
- Organization subpart
- No
- Enumeration date
- Dec 2, 2022
- Certification date
- Dec 2, 2022
- Last updated
- Dec 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Practice location
107 Surgeons DrMyrtle Beach, SC 29579-5198
Phone 843-903-3300
Mailing address
107 Surgeons DrMyrtle Beach, SC 29579-5198
Phone 843-903-3300
Authorized official
Juan Faja Fernandez
Orthodontist/Business Owner
8439033300
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Other Orthodontics and Dentofacial Orthopedics Dentistry providers in Myrtle Beach, SC
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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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