Organization
ELITE DENTAL GROUP CO SPRINGS INC
Active
Other names
Elite Dental Group Co Springs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYU JUNG DDS (PRESIDENT/DENTIST)
(719) 471-1717
Entity
Organization
Contact information
Practice address
1855 S NEVADA AVE, COLORADO SPRINGS, CO 80905-2516
(719) 471-1717
(719) 447-0605
Mailing address
10700 E BETHANY DR STE 210, AURORA, CO 80014-2680
(303) 745-8828
(720) 748-8867
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396261251
—
CO
Enumeration date
01/10/2023
Last updated
10/04/2023
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