Samuel Park, DMD is a student in an organized health care education training program in Hampton, VA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Samuel Park, DMD NPI is 1609448646. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
76 NEALY BLVD BLDG 92
HAMPTON, VA
ZIP 23665-022
Phone: (757) 225-7630
The enumeration date for this NPI number is 7/10/2021 and was last updated on 7/10/2021.