SAMUEL PARK, DMD

Dentist

Active Individual
NPI: 1609448646

Practice Address

7050 AIR DEPOT BLVD BLDG 1094
Tinker Afb, OK 73145

Phone: (954) 290-7165

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 0401417587 (VA)

Frequently Asked Questions

NPI 1609448646 is the National Provider Identifier for SAMUEL PARK, DMD, a Dentist provider located in Tinker Afb, OK. This NPI was enumerated on July 10, 2021.
SAMUEL PARK, DMD practices at 7050 AIR DEPOT BLVD BLDG 1094, Tinker Afb, OK 73145.

Quick Facts

NPI
1609448646
Type
Individual
Enumerated
Jul 10, 2021
Last Updated
Nov 24, 2024

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