Individual
BRETT PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
7011 LINDA VISTA RD, SAN DIEGO, CA 92111-6307
(775) 450-8824
Mailing address
7011 LINDA VISTA RD, SAN DIEGO, CA 92111-6307
(775) 450-8824
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
107435
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/27/2020
Last updated
08/25/2022
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