Organization
DENTAL ELEGANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAT S SEVERSON (OWNER-PRESIDENT)
(480) 558-7600
Entity
Organization
Contact information
Practice address
1425 W ELLIOT RD, STE 105, GILBERT, AZ 85233-5129
(480) 558-7600
(480) 558-8006
Mailing address
1425 W ELLIOT RD, STE 105, GILBERT, AZ 85233-5129
(480) 558-7600
(480) 558-8006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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