| Legacy Smiles Of San Juan Pllc | |
|
826 W Us Highway 83 Ste B San Juan TX 78589-2141 | |
| (956) 475-3005 | |
| (956) 475-3011 |
| Full Name | Legacy Smiles Of San Juan Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 826 W Us Highway 83 Ste B, San Juan, Texas |
| Authorized Official Name and Position | Jerin Jacob (DENTIST OWNER) |
| Authorized Official Contact | 9565744666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Smiles Of San Juan Pllc 826 W Us Highway 83 Ste B San Juan TX 78589-2141 Ph: (956) 475-3005 | Legacy Smiles Of San Juan Pllc 826 W Us Highway 83 Ste B San Juan TX 78589-2141 Ph: (956) 475-3005 |
| NPI Number | 1477320703 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477320703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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