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Licensing details for: 101622

Name: KIM, JOO HYUNG

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

350 N Riverside Ave
RIALTO CA 92376-5926
LOS ANGELES county
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Issuance Date

July 20, 2017

Expiration Date

August 31, 2026

Current Date / Time

June 7, 2025
4:11:6 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILE DESIGN DENTISTRY AND IMPLANT CENTER DENTAL PRACTICE OF JH KIM DENTAL PROFESSIONAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18788 Primary Status: Current - Active

Address :
350 N RIVERSIDE AVE
RIALTO CA 92376
SAN BERNARDINO COUNTY

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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

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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: SMILE DESIGN DENTISTRY AND IMPLANT CENTER DENTAL PRACTICE OF JH KIM DENTAL PROFESSIONAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18788 Primary Status: Current - Active

Address :
350 N RIVERSIDE AVE
RIALTO CA 92376
SAN BERNARDINO COUNTY

Map

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

Map

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