Individual
DR. HANSEUL PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5628 VAN BUREN BLVD, RIVERSIDE, CA 92503-2080
(951) 406-1488
Mailing address
2513 TIFFANY PL, FULLERTON, CA 92833-1527
(925) 872-9499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61138583
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
106150
CA
Other
Enumeration date
05/04/2021
Last updated
07/20/2025
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