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Organization
VANESA G CLEMENTS DDS PC
Active
Organization
VANESA G CLEMENTS DDS PC
Active
Other names
Legacy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W CLEMENTS (OFFICE MANAGER)
(956) 986-2222
Entity
Organization
Contact information
Practice address
2200 BOCA CHICA BLVD, #138, BROWNSVILLE, TX 78521-2212
(956) 986-2222
(956) 986-2223
Mailing address
2200 BOCA CHICA BLVD, #138, BROWNSVILLE, TX 78521-2212
(956) 986-2222
(956) 986-2223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700047271
NPI
TX
05
—
193080207
—
TX
Enumeration date
07/20/2015
Last updated
07/20/2015
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