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Organization
LEGACY SMILES EDINBURG PLLC
Active
Organization
LEGACY SMILES EDINBURG PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERIN JACOB (OWNER DENTIST)
(956) 574-4666
Entity
Organization
Contact information
Practice address
4626 S CLOSNER BLVD, EDINBURG, TX 78539-7279
(956) 475-3005
Mailing address
4626 S CLOSNER BLVD, EDINBURG, TX 78539-7279
(956) 475-3005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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