Individual provider · Type 1 NPI

Jun Hae Park, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Los Angeles, CA

NPI number 1780734558 Active

Practice location

8540 S Sepulveda Blvd Ste 1110
Los Angeles, CA 90045-3819

Call (310) 338-9499 Map

Fax (310) 338-9508

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X49385 (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 1780734558

Jun Hae Park, DDS, MS's National Provider Identifier is 1780734558, issued on Jan 11, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 2, 2010.