| An Elegant Smile Dentistry | |
|
14155 N 83rd Ave Ste 113 Peoria AZ 85381-5655 | |
| (623) 486-5222 | |
| Not Available |
| Full Name | An Elegant Smile Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 14155 N 83rd Ave Ste 113, Peoria, Arizona |
| Authorized Official Name and Position | Sam Foreman (OWNER) |
| Authorized Official Contact | 4803238537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| An Elegant Smile Dentistry 14155 N 83rd Ave Ste 113 Peoria AZ 85381-5655 Ph: (623) 486-5222 | An Elegant Smile Dentistry 14155 N 83rd Ave Ste 113 Peoria AZ 85381-5655 Ph: (623) 486-5222 |
| NPI Number | 1932518594 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 08/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932518594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D009056 (Arizona) | Primary |
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