Park, Sam

Park, Sam is an individual health care provider with primary practice located at 2959 S Wallace St Children'S Dental World, Chicago IL 60616-3034. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Park, Sam can be contacted via phone (312) 326-5437.

Contact Information

Primary practice address
2959 S Wallace St Children'S Dental World Chicago IL 60616-3034
Phone: (312) 326-5437
Fax: (312) 842-5338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 021002099 Illinois

Profile Details

NPI number 1295871267
LBN Legal business name Park, Sam
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Aug 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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