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Organization
LEGACY SMILES OF SAN JUAN PLLC
Active
Organization
LEGACY SMILES OF SAN JUAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERIN JACOB DDS (DENTIST OWNER)
(956) 574-4666
Entity
Organization
Contact information
Practice address
826 W US HIGHWAY 83 STE B, SAN JUAN, TX 78589-2141
(956) 475-3005
(956) 475-3011
Mailing address
826 W US HIGHWAY 83 STE B, SAN JUAN, TX 78589-2141
(956) 475-3005
(956) 475-3011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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