Individual provider · Type 1 NPI

Justyn Park

Orthodontics and Dentofacial Orthopedics Dentistry · Rocklin, CA

NPI number 1053193524 Active

Practice location

6522 Lonetree Blvd
Rocklin, CA 95765-5874

Mailing address

1714 21st St Apt 423
Sacramento, CA 95811-6882

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDDS106782 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1053193524

Justyn Park's National Provider Identifier is 1053193524, issued on Oct 18, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Rocklin, CA. The record was last updated on Oct 18, 2023.