Individual
JOOROK PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.D
Contact information
Practice address
155 5TH STREET, DEPARTMENT OF ORTHODONTICS, SAN FRANCISCO, CA 94103
(909) 809-8715
Mailing address
301 BRYANT ST APT 202, SAN FRANCISCO, CA 94107-4170
(909) 809-8715
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
57697
CA
Other
Enumeration date
09/25/2008
Last updated
10/27/2020
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