Dental Board of California
Licensing details for: 102074
Name: KIM, AHREUM
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
251 W Harvard Blvd
SANTA PAULA CA 93060-3213
VENTURA county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: A. KIM, DMD, INC
License/Registration Type: Additional Office Permit
License Number: 81251 Primary Status: Current - Active
Address :
23884 COPPER HILL DRIVE
VALENCIA CA 91354
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTAL GROUP SANTA PAULA DENTAL CARE OF DR. AHREUM KIM AND DR. SAM PARK
License/Registration Type: Fictitious Name Permit
License Number: 15469 Primary Status: Current - Active
Address :
251 W HARVARD BLVD
SANTA PAULA CA 93060
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TESORO DENTAL DENTAL PRACTICE OF A. KIM, DMD, INC
License/Registration Type: Fictitious Name Permit
License Number: 19404 Primary Status: Current - Active
Address :
23884 COPPER HILL DR.
VALENCIA CA 91354
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE CITY DENTAL DENTAL PRACTICE OF A. KIM, DMD, INC
License/Registration Type: Fictitious Name Permit
License Number: 16830 Primary Status: Current - Active
Address :
23884 COPPER HILL DR
VALENCIA CA 91354
LOS ANGELES COUNTY
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: TESORO DENTAL DENTAL PRACTICE OF A. KIM, DMD, INC
License/Registration Type: Fictitious Name Permit
License Number: 19404 Primary Status: Current - Active
Address :
23884 COPPER HILL DR.
VALENCIA CA 91354
LOS ANGELES COUNTY
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 CITY DENTAL DENTAL PRACTICE OF A. KIM, DMD, INC
License/Registration Type: Fictitious Name Permit
License Number: 16830 Primary Status: Current - Active
Address :
23884 COPPER HILL DR
VALENCIA CA 91354
LOS ANGELES COUNTY
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: DENTAL GROUP SANTA PAULA DENTAL CARE OF DR. AHREUM KIM AND DR. SAM PARK
License/Registration Type: Fictitious Name Permit
License Number: 15469 Primary Status: Current - Active
Address :
251 W HARVARD BLVD
SANTA PAULA CA 93060
VENTURA COUNTY
