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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
3336 E CHANDLER HEIGHTS RD BLDG 1, GILBERT, AZ 85298-4259
(480) 840-6556
(480) 840-6566
Mailing address
3336 E CHANDLER HEIGHTS RD BLDG 1, GILBERT, AZ 85298-4259
(480) 840-6556
(480) 840-6566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7144
AZ
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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