| |
5068 W 92nd Ave Westminster CO 80031-6302 | |
(303) 426-0023 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 5068 W 92nd Ave, Westminster, Colorado |
Authorized Official Name and Position | Kyu Jung (PRESIDENT/DENTIST) |
Authorized Official Contact | 3034260023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5068 W 92nd Ave Westminster CO 80031-6302 Ph: (303) 426-0023 | 5068 W 92nd Ave Westminster CO 80031-6302 Ph: (303) 426-0023 |
NPI Number | 1598481871 |
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Provider Enumeration Date | 10/18/2022 |
Last Update Date | 10/04/2023 |
Identifier | Type | State | Issuer |
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1598481871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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