Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Joon Park

Individual provider General Practice Dentistry · NPI 1407779168

Brandon Joon Park is a General Practice Dentistry in Twentynine Palms, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1591 Griffin Rd
Twentynine Palms, CA 92278
Phone: (760) 830-7052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 113482 (CA)

Record details

NPI number1407779168
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2026
Last updated in NPPESJuly 31, 2026
Certification dateJuly 17, 2026

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