Dental Board of California
Licensing details for: 107435
Name: PARKS, BRETT DANIEL
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: Parks, Brett
Address of Record
5363 Balboa Ave
SAN DIEGO CA 92117-6913
SAN DIEGO county
Map
License Relationships
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: PARKS PEDIATRIC DENTISTRY, PARKS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19340 Primary Status: Current - Active
Address :
2751 ROOSEVELT RD STE 203
SAN DIEGO CA 92106
SAN DIEGO COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Pediatric Minimal Sedation Permit
Name: PARKS, BRETT DANIEL
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 53 Primary Status: Current - Active
Address :
7930 FROST STREET SUITE 101
SAN DIEGO CA 92123
SAN DIEGO COUNTY
