Dental Board of California
Licensing details for: 53
Name: PARKS, BRETT DANIEL
License Type: Pediatric Minimal Sedation Permit
Primary Status: Current - Active
Previous Names: Parks, Brett
License Relationships
FNP Owners
License/Registration Role: Owners
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: 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
