SAMUEL PARK

TINKER AFB, OK
NPI1609448646
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: VA  0401417587)
Enumeration Date2021-07-10
Last Update Date2024-11-24
Business Address
SAMUEL PARK DMD
7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145-8716
Phone number: 954-290-7165
Mailing Address
SAMUEL PARK DMD
5306 TRACTOR LN
FAIRFAX, VA 22030-7239
Phone number: 954-290-7165
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