# 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:** 1538488804
- **Authorized official:** MONICA VITELA (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (602) 482-7000

## Contact information

- **Practice address:** 5977 E GRANT RD, STE 115, TUCSON, AZ 85712-2341
- **Practice address phone:** (520) 733-0040
- **Practice address fax:** (520) 546-0374
- **Mailing address:** 5977 E GRANT RD, STE 115, TUCSON, AZ 85712-2341
- **Mailing address phone:** (520) 733-0040
- **Mailing address fax:** (520) 546-0374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7622 | AZ | Yes |

## Other

- **Enumeration date:** 05/25/2010
- **Last updated:** 05/25/2010