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Organization
ELITE DENTAL GROUP LAKEWOOD INC
Active
Organization
ELITE DENTAL GROUP LAKEWOOD INC
Active
Other names
Elite Dental Lakewood
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYU HYUK JUNG DDS (PRESIDENT/DENTIST)
(303) 733-7533
Entity
Organization
Contact information
Practice address
1200 S WADSWORTH BLVD STE 200, LAKEWOOD, CO 80232-5434
(303) 733-7533
Mailing address
1200 S WADSWORTH BLVD STE 200, LAKEWOOD, CO 80232-5434
(303) 733-7533
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/05/2021
Last updated
10/04/2023
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