Individual
DR. SAM PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2959 S WALLACE ST, CHILDREN'S DENTAL WORLD, CHICAGO, IL 60616-3034
(312) 326-5437
(312) 842-5338
Mailing address
2959 S WALLACE ST, CHILDREN'S DENTAL WORLD, CHICAGO, IL 60616-3034
(312) 326-5437
(312) 842-5338
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021002099
IL
Other
Enumeration date
01/29/2007
Last updated
08/06/2020
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