An Elegant Smile Dentistry | |
1360 W Irvington Rd Ste 180 Tucson AZ 85746-4110 | |
(520) 206-0030 | |
(520) 889-0750 |
Full Name | An Elegant Smile Dentistry |
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Speciality | Dentist - General Practice |
Location | 1360 W Irvington Rd Ste 180, Tucson, 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 Dentistry 1360 W Irvington Rd Ste 180 Tucson AZ 85746-4110 Ph: (520) 206-0030 | An Elegant Smile Dentistry 1360 W Irvington Rd Ste 180 Tucson AZ 85746-4110 Ph: (520) 206-0030 |
NPI Number | 1285955088 |
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Provider Enumeration Date | 06/15/2010 |
Last Update Date | 09/15/2010 |
Identifier | Type | State | Issuer |
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1285955088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7699 (Arizona) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3317 (Arizona) | Secondary |
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