Individual provider · Type 1 NPI

Brandon Joon Park

General Practice Dentistry · Twentynine Palms, CA

NPI number 1407779168 Active

Practice location

1591 Griffin Road
Twentynine Palms, CA 92278

Call (760) 830-7052 Map

Mailing address

1591 Griffin Road,
Twentynine Palms, CA 92278

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X113482 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1407779168

Brandon Joon Park's National Provider Identifier is 1407779168, issued on Jul 31, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Twentynine Palms, CA. The record was last updated on Jul 31, 2026.