JUAN FAJA-FERNANDEZ

MYRTLE BEACH, SC
NPI1053754127
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: SC  4461)
Enumeration Date2013-04-09
Last Update Date2013-04-09
Business Address
-- JUAN FAJA-FERNANDEZ D.M.D.
107 SURGEONS DRIVE
MYRTLE BEACH, SC 29579
Phone number: 843-206-1116
Mailing Address
-- JUAN FAJA-FERNANDEZ D.M.D.
PO BOX 13799
FLORENCE, SC 29504-3799
Phone number:
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