Organization · Type 2 NPI

Elite Dental Group Lakewood Inc

Dental Clinic/Center · Lakewood, CO

NPI number 1902489016 Active

Practice location

1200 S Wadsworth Blvd Ste 200
Lakewood, CO 80232-5434

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

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NPI record

NPI: 1902489016
Entity type: Organization (Type 2)
Issued: May 5, 2021
Last updated: Oct 4, 2023
Status: Active

Other names

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Elite Dental Lakewood · doing business as
Elite Dental Lakewood · doing business as

Authorized official

Dr. Kyu Hyuk Jung, DDS
President/dentist
(303) 733-7533

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About NPI 1902489016

Elite Dental Group Lakewood Inc's National Provider Identifier is 1902489016, issued on May 5, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lakewood, CO. The record was last updated on Oct 4, 2023.