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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