Dental Board of California
Licensing details for: 100847
Name: KIM, DONGHAN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: JOO HYUNG KIM PARK AVENUE COSMETIC DENTISTRY DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 15615 Primary Status: Expired
Address :
1220 N. PARK AVE
POMONA CA 91768
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HAVEN COSTMETIC DENTISTRY AND IMPLANT CENTER DENTAL GROUP OF DONGHAN KIM, DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 18616 Primary Status: Current - Active
Address :
8415 HAVEN AVE
RANCHO CUCAMONGA CA 91730-3893
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: HAVEN COSTMETIC DENTISTRY AND IMPLANT CENTER DENTAL GROUP OF DONGHAN KIM, DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 18616 Primary Status: Current - Active
Address :
8415 HAVEN AVE
RANCHO CUCAMONGA CA 91730-3893
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: JOO HYUNG KIM PARK AVENUE COSMETIC DENTISTRY DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 15615 Primary Status: Expired
Address :
1220 N. PARK AVE
POMONA CA 91768
LOS ANGELES COUNTY
