Individual
BRANDON JOON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1591 GRIFFIN ROAD, TWENTYNINE PALMS, CA 92278
(760) 830-7052
Mailing address
1591 GRIFFIN ROAD,, TWENTYNINE PALMS, CA 92278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
113482
CA
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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