Individual provider · Type 1 NPI

Krystal Soojung Park, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Fresno, CA

NPI number 1962169698 Active

Practice location

7055 N Fresno St Ste 302
Fresno, CA 93720-2957

Call (559) 325-3300 Map

Mailing address

2280 East Shepherd Avenue, Apt. 119
Fresno, CA 93720

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X104718 (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…

Another provider at this address

Other orthodontics and dentofacial orthopedics dentistry providers in Fresno

See all in Fresno →

About NPI 1962169698

Krystal Soojung Park, DDS, MS's National Provider Identifier is 1962169698, issued on Nov 17, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fresno, CA. The record was last updated on Nov 17, 2021.