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Search › Arizona › Orthodontics and Dentofacial Orthopedics Dentistry

Jae Park, DMD, PHD

NPI 1811065238 · on the registry since 2006

Practice

Address
3155 W Indian School Rd
Western Dental Orthodontic Office
Phoenix, AZ 85017
Phone
(480) 286-0455
Organisation at this address
Western Dental Of Arizona, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona