Organization
ELITE DENTAL GROUP LAKEWOOD INC
Active
Other names
Elite Dental Lakewood
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYU HYUK JUNG DDS (PRESIDENT/DENTIST)
(303) 733-7533
Entity
Organization
Contact information
Practice address
1200 S WADSWORTH BLVD STE 200, LAKEWOOD, CO 80232-5434
(303) 733-7533
Mailing address
1200 S WADSWORTH BLVD STE 200, LAKEWOOD, CO 80232-5434
(303) 733-7533
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
10/04/2023
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