Fernando San Juan, Dds, PA

NPI #1760459598 in Miami, Florida

Provider Information

NPI Number: 1760459598
Entity Type: Organization
Organization Name: Fernando San Juan, Dds, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 6882 CORAL WAY
City: Miami
State: Florida
ZIP Code: 33155-1704
Phone: (305) 662-8995

Authorized Official

Name: DR. FERNANDO SAN JUAN, D.D.S.
Title: PRESIDENT
Phone: (305) 662-8995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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