# ELEGANT SMILES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902103807
- **Authorized official:** DR. MAHASIN M HANGALAY D.D.S (DENTIST/OWNER)
- **Authorized official phone:** (602) 354-5800

## Contact information

- **Practice address:** 4425 N 24TH ST STE 100, PHOENIX, AZ 85016-5513
- **Practice address phone:** (602) 354-5800
- **Practice address fax:** (602) 354-5860
- **Mailing address:** 4425 N 24TH ST STE 100, PHOENIX, AZ 85016-5513
- **Mailing address phone:** (602) 354-5800
- **Mailing address fax:** (602) 354-5860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D6747 | AZ | Yes |

## Other

- **Enumeration date:** 02/11/2011
- **Last updated:** 02/11/2011