Provider Demographics
NPI:1396261251
Name:JUNG, KYU HYUK (DDS)
Entity type:Individual
Prefix:DR
First Name:KYU
Middle Name:HYUK
Last Name:JUNG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 E BETHANY DR STE 210
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2680
Mailing Address - Country:US
Mailing Address - Phone:303-745-8828
Mailing Address - Fax:
Practice Address - Street 1:10700 E BETHANY DR STE 210
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2680
Practice Address - Country:US
Practice Address - Phone:303-745-8828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002032491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice