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Search › California › General Practice Dentistry

Brandon Park

NPI 1407779168 · on the registry since 2026

Practice

Address
1591 Griffin Road
Twentynine Palms, CA 92278
Phone
(760) 830-7052
Clinicians at this address
20

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California