| Elite Dental Group Thornton | |
|
10005 Grant St Unit D Thornton CO 80229-2033 | |
| (303) 450-3199 | |
| (303) 450-0862 |
| Full Name | Elite Dental Group Thornton |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10005 Grant St Unit D, Thornton, Colorado |
| Authorized Official Name and Position | Kyu Hyuk Jung (PRESIDENT/DENTIST) |
| Authorized Official Contact | 3034503199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Group Thornton 10005 Grant St Unit D Thornton CO 80229-2033 Ph: (303) 733-7533 | Elite Dental Group Thornton 10005 Grant St Unit D Thornton CO 80229-2033 Ph: (303) 450-3199 |
| NPI Number | 1043944523 |
|---|---|
| Provider Enumeration Date | 07/12/2022 |
| Last Update Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043944523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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