An Elegant Smile Dentistry
An Elegant Smile Dentistry is a Dentist in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2014.
- Licensed in
- AZ
- In the registry since
- 2014
Practice location Address checks out
14155 N 83rd Ave Ste 113Peoria, AZ 85381-5655
Phone: (623) 486-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D009056 (AZ) |
|---|
Record details
| NPI number | 1932518594 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sam Foreman — Owner · (480) 323-8537 |
| NPI enumerated | August 7, 2014 |
| Last updated in NPPES | August 7, 2014 |
| Mailing address | 14155 N 83rd Ave Ste 113, Peoria, AZ 85381-5655 |
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