An Elegant Smile P.c.

NPI #1255564506 in Prescott, Arizona

Provider Information

NPI Number
1255564506
Entity Type
Organization
Organization Name
An Elegant Smile P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 2, 2009
Last Updated
Sep 2, 2009

Practice Location

Address
980 WILLOW CREEK RD STE 103
State
Arizona
ZIP Code
86301-1619
Phone
(928) 445-1682

Authorized Official

Name
MONICA VITELA
Title
CREDENTIALING COORDINATOR
Phone
(602) 482-7000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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