| Elite Dental Group Lafayette | |
|
1120 W South Boulder Rd Ste 202 Lafayette CO 80026-8952 | |
| (303) 666-4653 | |
| Not Available |
| Full Name | Elite Dental Group Lafayette |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1120 W South Boulder Rd Ste 202, Lafayette, Colorado |
| Authorized Official Name and Position | Kyu Hyuk Jung (PRESIDENT/DENTIST) |
| Authorized Official Contact | 3036664653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Group Lafayette 1120 W South Boulder Rd Ste 202 Lafayette CO 80026-8952 Ph: (303) 666-4653 | Elite Dental Group Lafayette 1120 W South Boulder Rd Ste 202 Lafayette CO 80026-8952 Ph: (303) 666-4653 |
| NPI Number | 1396439741 |
|---|---|
| Provider Enumeration Date | 06/07/2023 |
| Last Update Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396439741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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