| NPI | 1558175158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANSEUL PARK Orthodontist 925-872-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-07-20 |