Park, Samuel
Park, Samuel is an individual health care provider with primary practice located at 7050 Air Depot Blvd Bldg 1094 , Tinker Afb OK 73145-8716. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Park, Samuel can be contacted via phone (954) 290-7165.Contact Information
Primary practice address
7050 Air Depot Blvd Bldg 1094
Tinker Afb OK 73145-8716
Phone: (954) 290-7165
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401417587 | Virginia |
Profile Details
| NPI number | 1609448646 |
|---|---|
| LBN Legal business name | Park, Samuel |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2021 |
| Last updated | Nov 24th, 2024 - about 2 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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