# AN ELEGANT SMILE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** An Elegant Smile Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285955088
- **Authorized official:** MONICA VITELA (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (602) 482-7000

## Contact information

- **Practice address:** 1360 W IRVINGTON RD STE 180, TUCSON, AZ 85746-4110
- **Practice address phone:** (520) 206-0030
- **Practice address fax:** (520) 889-0750
- **Mailing address:** 1360 W IRVINGTON RD STE 180, TUCSON, AZ 85746-4110
- **Mailing address phone:** (520) 206-0030
- **Mailing address fax:** (520) 889-0750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7699 | AZ | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 3317 | AZ | — |

## Other

- **Enumeration date:** 06/15/2010
- **Last updated:** 09/15/2010