Organization
ELITE DENTAL GROUP AURORA INC
Active
Other names
Elite Dental group Inc, Elite Dental Group INC, Elite Dental Group Aurora
Organization subpart
No
Provider details
NPI number
Authorized official
KYU H JUNG DDS (OWNER)
(303) 745-8828
Entity
Organization
Contact information
Practice address
10700 E BETHANY DR STE 210, AURORA, CO 80014-2680
(303) 745-8828
(720) 748-8867
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
06/14/2019
Last updated
10/04/2023
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