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Organization
AN ELEGANT SMILE P.C.
Active
Organization
AN ELEGANT SMILE P.C.
Active
Other names
An Elegant Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA VITELA (CREDENTIALING COORDINATOR)
(602) 482-7000
Entity
Organization
Contact information
Practice address
5977 E GRANT RD, STE 115, TUCSON, AZ 85712-2341
(520) 733-0040
(520) 546-0374
Mailing address
5977 E GRANT RD, STE 115, TUCSON, AZ 85712-2341
(520) 733-0040
(520) 546-0374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7622
AZ
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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