# 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:** 1609100700
- **Authorized official:** MONICA VITELA (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (602) 482-7000

## Contact information

- **Practice address:** 3336 E CHANDLER HEIGHTS RD BLDG 1, GILBERT, AZ 85298-4259
- **Practice address phone:** (480) 840-6556
- **Practice address fax:** (480) 840-6566
- **Mailing address:** 3336 E CHANDLER HEIGHTS RD BLDG 1, GILBERT, AZ 85298-4259
- **Mailing address phone:** (480) 840-6556
- **Mailing address fax:** (480) 840-6566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7144 | AZ | Yes |

## Other

- **Enumeration date:** 09/23/2009
- **Last updated:** 09/23/2009