Individual provider · Type 1 NPI

Hanseul Park, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Riverside, CA

NPI number 1750964938 Active

Practice location

5628 Van Buren Blvd
Riverside, CA 92503-2080

Call (951) 406-1488 Map

Mailing address

2513 Tiffany Pl
Fullerton, CA 92833-1527

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X61138583 (WA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X106150 (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 1750964938

Hanseul Park, DDS's National Provider Identifier is 1750964938, issued on May 4, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Riverside, CA. The record was last updated on Jul 20, 2025.