Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justyn Park

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1053193524

Justyn Park is an Orthodontics and Dentofacial Orthopedics Dentistry in Rocklin, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

6522 Lonetree Blvd
Rocklin, CA 95765-5874
Phone: (916) 773-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DDS106782 (CA)

Record details

NPI number1053193524
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 18, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address1714 21st St Apt 423, Sacramento, CA 95811-6882

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