Organization
FERNANDO SAN JUAN, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO SAN JUAN D.D.S. (PRESIDENT)
(305) 662-8995
Entity
Organization
Contact information
Practice address
6882 CORAL WAY, MIAMI, FL 33155-1704
(305) 662-8995
(305) 666-7150
Mailing address
6882 CORAL WAY, MIAMI, FL 33155-1704
(305) 662-8995
(305) 666-7150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 11002
FL
Other
Enumeration date
03/01/2006
Last updated
08/22/2020
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