Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAM S PARK, DMD
Active Sole ProprietorSAM S PARK, DMD is a Dentist healthcare provider located in CORONA, California. NPI 1831614213 is currently active in the NPPES registry. Verify at CMS.
Dentist · CORONA, CA
Registration Details
- NPI Number
- 1831614213
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2017 (9.0226089348033 yrs)
- Last Updated
- Mar 17, 2018
- License
-
DDS101611 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1222 MAGNOLIA AVE STE 101CORONA, CA, 928812075Browse CA providers · Browse ZIP 92881
- Phone
- 9092560456
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CORONA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL G KILZI | DDS | 1730119249 |
| MR. MAYNARD POGUE | DDS | 1730193970 |
| DR. ANAND A GALGAI | DDS | 1568470722 |
| DR. DIAA S FAHMY | D.D.S. | 1053405126 |
| LITA HERMANSJAH | DDS | 1740367440 |
| DR. MARIA ELENA ACAL | D.M.D. | 1649322462 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.