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 |
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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 |
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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 |
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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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