NPI | 1164103685 |
---|---|
Doing Business As | ELITE DENTAL GROUP SE CO SPRINGS |
Entity Type | Organization |
Authorized Contact | KYU HYUK JUNG President/Dentist 719-301-6680 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-07-27 |
Last Update Date | 2023-10-04 |