Legacy Smiles of San Juan Pllc

NPI #1477320703 in San Juan, Texas

Provider Information

NPI Number
1477320703
Entity Type
Organization
Organization Name
Legacy Smiles of San Juan Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 6, 2023
Last Updated
Dec 6, 2023

Practice Location

Address
826 W US HIGHWAY 83 STE B
State
Texas
ZIP Code
78589-2141
Phone
(956) 475-3005

Authorized Official

Name
JERIN JACOB, DDS
Title
DENTIST OWNER
Phone
(956) 574-4666

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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