# ELITE DENTAL GROUP SE CO SPRINGS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Dental Group SE Co Springs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164103685
- **Authorized official:** KYU HYUK JUNG DDS (PRESIDENT/DENTIST)
- **Authorized official phone:** (719) 301-6680

## Contact information

- **Practice address:** 2753 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
- **Practice address phone:** (719) 301-6680
- **Mailing address:** 2753 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
- **Mailing address phone:** (719) 301-6680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2023
- **Last updated:** 10/04/2023