| Elite Dental Group Centennial Inc | |
|
8120 S Holly St Ste 210 Centennial CO 80122-4007 | |
| (303) 738-3888 | |
| Not Available |
| Full Name | Elite Dental Group Centennial Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8120 S Holly St Ste 210, Centennial, Colorado |
| Authorized Official Name and Position | Kyu Hyuk Jung (DENTIST/OWNER) |
| Authorized Official Contact | 3037383888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Group Centennial Inc 8120 S Holly St Ste 210 Centennial CO 80122-4007 Ph: (303) 738-3888 | Elite Dental Group Centennial Inc 8120 S Holly St Ste 210 Centennial CO 80122-4007 Ph: (303) 738-3888 |
| NPI Number | 1306612684 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306612684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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