person
Dr. Sam Park, DDS
Pediatric Dentist in Chicago, Illinois
NPI 1295871267

Sam Park is a Pediatric Dentist based in Chicago, IL and is specialized in Pediatric Dentistry. Sam Park practices in Chicago, IL and has the professional credentials of DDS. The NPI Number for Sam Park is 1295871267 and holds a License No. 021002099 (Illinois).

The current practice location address for Sam Park is 2959 S Wallace St, Chicago, IL and can be reached out via phone at 312-326-5437 and via fax at 312-842-5338.

Location: 2959 S Wallace St, Chicago, IL, 60616-3034
person
Provider Profile Details
NPI Number
1295871267
Provider Name
Sam Park
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2959 S Wallace St, Chicago, IL, 60616-3034
Phone Number
312-326-5437
Fax Number
312-842-5338
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2959 S Wallace St
City
State
Zip
60616-3034
Phone Number
312-326-5437
Fax Number
312-842-5338
person
Provider Business Mailing Address Details
Address
2959 S Wallace St
City
State
Zip
60616-3034
Phone Number
312-326-5437
Fax Number
312-842-5338
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
021002099 (Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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