An Elegant Smile Dentistry

NPI #1932518594 in Peoria, Arizona

Provider Information

NPI Number: 1932518594
Entity Type: Organization
Organization Name: An Elegant Smile Dentistry
Primary Specialty: Dentist
Enumeration Date: Aug 7, 2014
Last Updated: Aug 7, 2014

Practice Location

Address: 14155 N 83RD AVE STE 113
City: Peoria
State: Arizona
ZIP Code: 85381-5655
Phone: (623) 486-5222

Authorized Official

Name: SAM FOREMAN
Title: OWNER
Phone: (480) 323-8537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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