| An Elegant Smile P.c. | |
|
980 Willow Creek Rd Ste 103 Prescott AZ 86301-1619 | |
| (928) 445-1682 | |
| (928) 445-2963 |
| Full Name | An Elegant Smile P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 980 Willow Creek Rd Ste 103, Prescott, 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 P.c. 980 Willow Creek Rd Ste 103 Prescott AZ 86301-1619 Ph: (928) 445-1682 | An Elegant Smile P.c. 980 Willow Creek Rd Ste 103 Prescott AZ 86301-1619 Ph: (928) 445-1682 |
| NPI Number | 1255564506 |
|---|---|
| Provider Enumeration Date | 09/02/2009 |
| Last Update Date | 09/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255564506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5979 (Arizona) | Primary |
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Distinctive Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Willow Creek Rd, Suite H, Prescott, AZ 86301 Phone: 928-445-3181 Fax: 928-445-5797 | |
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Frontier Village Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1781 E State Route 69, Ste 9, Prescott, AZ 86301 Phone: 928-541-1000 Fax: 928-778-2131 | |
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