SearchCaliforniaDentist

Sam Park, DMD

NPI 1831614213 · on the registry since 2017 · sole proprietor

Practice

Address
1222 Magnolia Ave Ste 101
Corona, CA 92881
Phone
(909) 256-0456
Organisation at this address
William Lee Chiueh.Dmd Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 514 E Washington Blvd, Los Angeles, CA

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California