Individual provider · Type 1 NPI

Ji Yong Park, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Fullerton, CA

NPI number 1710045463 Active

Practice location

100 E Valencia Mesa Dr, Suite 209
Fullerton, CA 92835-3813

Call (714) 871-0500 Map

Fax (714) 871-0510

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X44525 (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 1710045463

Ji Yong Park, DDS's National Provider Identifier is 1710045463, issued on Dec 5, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fullerton, CA. The record was last updated on Sep 29, 2008.