Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sam S Park, DMD

Individual provider Dentist · NPI 1831614213

Sam S Park, DMD is a Dentist in Corona, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1222 Magnolia Ave Ste 101
Corona, CA 92881-2075
Phone: (909) 256-0456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 514 E Washington Blvd, Los Angeles, CA 90015-3723 — (213) 749-3934

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DDS101611 (CA)

Record details

NPI number1831614213
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 7, 2017
Last updated in NPPESMarch 17, 2018

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