| An Elegant Smile Denistry | |
|
14155 N 83rd Ave Bldg 3 Peoria AZ 85381-5639 | |
| (623) 486-5222 | |
| (623) 486-5226 |
| Full Name | An Elegant Smile Denistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14155 N 83rd Ave Bldg 3, Peoria, Arizona |
| Authorized Official Name and Position | Monica Vitela (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6024827000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| An Elegant Smile Denistry 14155 N 83rd Ave Bldg 3 Peoria AZ 85381-5639 Ph: (623) 486-5222 | An Elegant Smile Denistry 14155 N 83rd Ave Bldg 3 Peoria AZ 85381-5639 Ph: (623) 486-5222 |
| NPI Number | 1760797146 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 08/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760797146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3531 (Arizona) | Primary |
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