Individual
DR. KRYSTAL SOOJUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
7055 N FRESNO ST STE 302, FRESNO, CA 93720-2957
(559) 325-3300
Mailing address
2280 EAST SHEPHERD AVENUE, APT. 119, FRESNO, CA 93720
(530) 519-4649
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
104718
CA
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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