Samuel Park, DMD
NPI #1609448646 in Tinker Afb, Oklahoma
Provider Information
- NPI Number
- 1609448646
- Entity Type
- Individual
- Name
- Samuel Park, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jul 10, 2021
- Last Updated
- Nov 24, 2024
Practice Location
- Address
- 7050 AIR DEPOT BLVD BLDG 1094
- City
- Tinker Afb
- State
- Oklahoma
- ZIP Code
- 73145-8716
- Phone
- (954) 290-7165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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