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Organization
ELITE DENTAL GROUP FOUNTAIN INC
Active
Organization
ELITE DENTAL GROUP FOUNTAIN INC
Active
Other names
Johnson And Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYU HYUK JUNG DDS (OWNER)
(720) 278-8492
Entity
Organization
Contact information
Practice address
200 PLAZA BLVD, FOUNTAIN, CO 80817-2504
(719) 392-4201
Mailing address
10730 E BETHANY DR STE 240, AURORA, CO 80014-2693
(720) 278-8492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/13/2025
Last updated
12/09/2025
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