| NPI | 1104530542 |
|---|---|
| Doing Business As | ELITE DENTAL GROUP CO SPRINGS |
| Entity Type | Organization |
| Authorized Contact | KYU JUNG President/Dentist 719-471-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-10-04 |