Organization
ELEGANT SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHASIN M HANGALAY D.D.S (DENTIST/OWNER)
(602) 354-5800
Entity
Organization
Contact information
Practice address
4425 N 24TH ST STE 100, PHOENIX, AZ 85016-5513
(602) 354-5800
(602) 354-5860
Mailing address
4425 N 24TH ST STE 100, PHOENIX, AZ 85016-5513
(602) 354-5800
(602) 354-5860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6747
AZ
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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