Seabreeze Orthodontics | |
107 Surgeons Dr Myrtle Beach SC 29579-5198 | |
(843) 903-3300 | |
Not Available |
Full Name | Seabreeze Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 107 Surgeons Dr, Myrtle Beach, South Carolina |
Authorized Official Name and Position | Juan Faja Fernandez (ORTHODONTIST/BUSINESS OWNER) |
Authorized Official Contact | 8439033300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Seabreeze Orthodontics 107 Surgeons Dr Myrtle Beach SC 29579-5198 Ph: (843) 903-3300 | Seabreeze Orthodontics 107 Surgeons Dr Myrtle Beach SC 29579-5198 Ph: (843) 903-3300 |
NPI Number | 1821708595 |
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Provider Enumeration Date | 12/02/2022 |
Last Update Date | 12/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821708595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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