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Licensing details for: 53

Name: PARKS, BRETT DANIEL

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Previous Names: Parks, Brett

Address of Record

5363 BALBOA AVE
SAN DIEGO CA 92117
SAN DIEGO county
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Practice Location

7930 FROST STREET SUITE 101
SAN DIEGO CA 92123
SAN DIEGO county
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Issuance Date

March 13, 2023

Expiration Date

December 31, 2026

Current Date / Time

December 17, 2025
7:29:29 PM

License Relationships

PMS to DDS or OMS or SP

License/Registration Role: Pediatric Minimal Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: PARKS, BRETT DANIEL

License/Registration Type: Dentist License

License Number: 107435 Primary Status: Current - Active

Address :
5363 Balboa Ave
SAN DIEGO CA 92117-6913
SAN DIEGO COUNTY

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