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Organization
ELITE DENTAL GROUP LAFAYETTE INC
Active
Organization
ELITE DENTAL GROUP LAFAYETTE INC
Active
Other names
Elite Dental Group Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYU HYUK JUNG DDS (PRESIDENT/DENTIST)
(303) 666-4653
Entity
Organization
Contact information
Practice address
1120 W SOUTH BOULDER RD STE 202, LAFAYETTE, CO 80026-8952
(303) 666-4653
Mailing address
1120 W SOUTH BOULDER RD STE 202, LAFAYETTE, CO 80026-8952
(303) 666-4653
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/07/2023
Last updated
10/04/2023
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