Organization
ELITE DENTAL GROUP LAFAYETTE INC
Active
Other names
Elite Dental Group Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYU HYUK JUNG DDS (PRESIDENT/DENTIST)
(303) 666-4653
Entity
Organization
Contact information
Practice address
1120 W SOUTH BOULDER RD STE 202, LAFAYETTE, CO 80026-8952
(303) 666-4653
Mailing address
1120 W SOUTH BOULDER RD STE 202, LAFAYETTE, CO 80026-8952
(303) 666-4653
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
10/04/2023
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