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
Mailing address5555 Crestridge Rd Apt 210, Rancho Palos Verdes, CA 90275-3580

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