Fernando San Juan, Dds, Pa

NPI 1760459598 - Dentist - 1223G0001X

NPI Details
NPI 1760459598
Enumeration Date 03/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FERNANDO FERNANDO
Position PRESIDENT
Phone (305) 662-8995
Fax (305) 666-7150
Practice Location
6882 CORAL WAY
MIAMI FL, 33155-1704, US
Phone (305) 662-8995
Fax (305) 666-7150
Business Location
6882 CORAL WAY
MIAMI FL, 33155-1704, US
Phone (305) 662-8995
Fax (305) 666-7150
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN 11002
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According to our database, Fernando San Juan, Dds, Pa NPI is 1760459598, taxonomy code is 1223G0001X and license number is DN 11002, license state is located at Florida. Fernando San Juan, Dds, Pa physically located at 6882 Coral Way, Miami FL, 33155-1704. NPI Number 1033115704 has the healthcare provider type.

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1760459598 NPI number is provided on an as is basis without warranty of any kind. 1760459598 is maintained by the National Plan & Provider Enumeration System. The contents of Fernando San Juan, Dds, Pa are for informational purposes only.