Organization
PARKS DENTAL CORPORATION
Active
Other names
Parks Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT PARKS DDS (OWNER)
(619) 500-3592
Entity
Organization
Contact information
Practice address
2751 ROOSEVELT RD STE 203, SAN DIEGO, CA 92106-6180
(775) 450-8824
Mailing address
2751 ROOSEVELT RD STE 203, SAN DIEGO, CA 92106-6180
(775) 450-8824
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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