Individual provider · Type 1 NPI

Jae Sik Hur

Orthodontics and Dentofacial Orthopedics Dentistry · Santa Rosa, CA

NPI number 1851452353 Active

Practice location

4100 Montgomery Dr
Santa Rosa, CA 95405-5282

Mailing address

130 San Felipe Ave
San Francisco, CA 94127-2048

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X54911 (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 1851452353

Jae Sik Hur's National Provider Identifier is 1851452353, issued on Dec 12, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 8, 2007.