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Licensing details for: 101556

Name: KIM, HAN YOU

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

16989 Valley Blvd
Ste B
FONTANA CA 92335-6806
SAN BERNARDINO county
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Issuance Date

July 12, 2017

Expiration Date

November 30, 2026

Current Date / Time

June 6, 2025
11:16:29 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FONTANA DENTAL CLINIC DENTAL OFFICE OF HAN Y KIM DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 17635 Primary Status: Current - Active

Address :
16989 VALLEY BLVD STE B
FONTANA CA 92335
SAN BERNARDINO COUNTY

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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: FONTANA DENTAL CLINIC DENTAL OFFICE OF HAN Y KIM DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 17635 Primary Status: Current - Active

Address :
16989 VALLEY BLVD STE B
FONTANA CA 92335
SAN BERNARDINO COUNTY

Map

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