Park, Sam S

Park, Sam S is an sole proprietor health care provider with primary practice located at 1222 Magnolia Ave Ste 101 , Corona CA 92881-2075. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Park, Sam S can be contacted via phone (909) 256-0456.

Contact Information

Primary practice address
1222 Magnolia Ave Ste 101 Corona CA 92881-2075
Phone: (909) 256-0456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DDS101611 California

Profile Details

NPI number 1831614213
LBN Legal business name Park, Sam S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2017
Last updated Mar 17th, 2018 - about 8 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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