Organization
ELITE DENTAL GROUP SE CO SPRINGS INC
Active
Other names
Elite Dental Group SE Co Springs
Organization subpart
No
Provider details
NPI number
Authorized official
KYU HYUK JUNG DDS (PRESIDENT/DENTIST)
(719) 301-6680
Entity
Organization
Contact information
Practice address
2753 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 301-6680
Mailing address
2753 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 301-6680
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
10/04/2023
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