| An Elegant Smile Dentistry | |
|
4550 E Bell Rd Ste 8-178 Phoenix AZ 85032-9306 | |
| (602) 494-3000 | |
| (602) 494-3005 |
| Full Name | An Elegant Smile Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4550 E Bell Rd Ste 8-178, Phoenix, Arizona |
| Authorized Official Name and Position | Monica Vitela (CREDENTIAL COORDINATOR) |
| Authorized Official Contact | 6024827000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| An Elegant Smile Dentistry 4550 E Bell Rd Ste 8-178 Phoenix AZ 85032 Ph: (602) 494-3000 | An Elegant Smile Dentistry 4550 E Bell Rd Ste 8-178 Phoenix AZ 85032-9306 Ph: (602) 494-3000 |
| NPI Number | 1285873125 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 02/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285873125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
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