# ELITE DENTAL GROUP LAKEWOOD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Dental Lakewood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902489016
- **Authorized official:** DR. KYU HYUK JUNG DDS (PRESIDENT/DENTIST)
- **Authorized official phone:** (303) 733-7533

## Contact information

- **Practice address:** 1200 S WADSWORTH BLVD STE 200, LAKEWOOD, CO 80232-5434
- **Practice address phone:** (303) 733-7533
- **Mailing address:** 1200 S WADSWORTH BLVD STE 200, LAKEWOOD, CO 80232-5434
- **Mailing address phone:** (303) 733-7533

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2021
- **Last updated:** 10/04/2023