| An Elegant Smile Dentistry | |
|
6849 N Oracle Rd Ste 115 Tucson AZ 85704-4242 | |
| (520) 696-0700 | |
| (520) 696-0705 |
| Full Name | An Elegant Smile Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6849 N Oracle Rd Ste 115, 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 |
|---|---|
| An Elegant Smile Dentistry 6849 N Oracle Rd Ste 115 Tucson AZ 85704-4242 Ph: (520) 696-0700 | An Elegant Smile Dentistry 6849 N Oracle Rd Ste 115 Tucson AZ 85704-4242 Ph: (520) 696-0700 |
| NPI Number | 1659503522 |
|---|---|
| Provider Enumeration Date | 08/11/2009 |
| Last Update Date | 08/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659503522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7331 (Arizona) | Primary |
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