# AN ELEGANT SMILE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AN ELEGANT SMILE P.C.
- **Other names:** An Elegant Smile Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659503522
- **Legal business name:** AN ELEGANT SMILE P.C.
- **Authorized official:** MONICA VITELA (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (602) 482-7000

## Contact information

- **Practice address:** 6849 N ORACLE RD STE 115, TUCSON, AZ 85704-4242
- **Practice address phone:** (520) 696-0700
- **Practice address fax:** (520) 696-0705
- **Mailing address:** 6849 N ORACLE RD STE 115, TUCSON, AZ 85704-4242
- **Mailing address phone:** (520) 696-0700
- **Mailing address fax:** (520) 696-0705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7331 | AZ | Yes |

## Other

- **Enumeration date:** 08/11/2009
- **Last updated:** 08/11/2009