Individual provider · Type 1 NPI

Tina Keun Nan Park, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Seattle, WA

NPI number 1407200694 Active

Practice location

11011 Meridian Ave N Ste 104
Seattle, WA 98133-8967

Call (855) 433-6825 Map

Mailing address

6950 NE Campus Way
Hillsboro, OR 97124-5611

Other practice locations

626 120th Ave NE Ste B210, Bellevue, WA 98005-3038 · (855) 433-6825
3216 Norton Ave, Everett, WA 98201-4290 · (855) 433-6825

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	63253 (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 1407200694

Tina Keun Nan Park, DDS, M.S.'s National Provider Identifier is 1407200694, issued on Apr 14, 2016. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Seattle, WA. The record was last updated on Nov 19, 2024.