Organization
AN ELEGANT SMILE, P.C.
Active
Parent organization
AN ELEGANT SMILE P.C.
Other names
An Elegant Smile Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
AN ELEGANT SMILE P.C.
Authorized official
MONICA VITELA (CREDENTIALING COORDINATOR)
(602) 482-7000
Entity
Organization
Contact information
Practice address
6849 N ORACLE RD STE 115, TUCSON, AZ 85704-4242
(520) 696-0700
(520) 696-0705
Mailing address
6849 N ORACLE RD STE 115, TUCSON, AZ 85704-4242
(520) 696-0700
(520) 696-0705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7331
AZ
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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