Dental Board of California
Licensing details for: 102817
Name: KIM, DAEUK DAVID
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: KIM, DAE UK
Address of Record
144 Waterfall Ln
BREA CA 92821-4348
ORANGE 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: KIM & LEE, A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80999 Primary Status: Cancelled
Address :
1686 W. KATELLA AVE
ANAHEIM CA 92802
ORANGE COUNTY
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: KIM & LEE DDS INC.
License/Registration Type: Additional Office Permit
License Number: 81063 Primary Status: Cancelled
Address :
9009 KNOTT AVE
BUENA PARK CA 90620
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILEE DENTAL, DENTAL OFFICE OF DR. KIM AND LEE
License/Registration Type: Fictitious Name Permit
License Number: 16917 Primary Status: Expired
Address :
9009 KNOTT AVE
BUENA PARK CA 90620
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILEE DENTAL, DENTAL OFFICE OF DR. KIM AND LEE
License/Registration Type: Fictitious Name Permit
License Number: 16918 Primary Status: Expired
Address :
1686 W KATELLA AVE
ANAHEIM CA 92802
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HELLO FRIENDS DENTAL DENTAL OFFICE OF DR. DAEUK KIM
License/Registration Type: Fictitious Name Permit
License Number: 18694 Primary Status: Current - Active
Address :
615 PACIFIC AVE.
LONG BEACH CA 90802
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: HELLO FRIENDS DENTAL DENTAL OFFICE OF DR. DAEUK KIM
License/Registration Type: Fictitious Name Permit
License Number: 18694 Primary Status: Current - Active
Address :
615 PACIFIC AVE.
LONG BEACH CA 90802
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: SMILEE DENTAL, DENTAL OFFICE OF DR. KIM AND LEE
License/Registration Type: Fictitious Name Permit
License Number: 16918 Primary Status: Expired
Address :
1686 W KATELLA AVE
ANAHEIM CA 92802
ORANGE 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: SMILEE DENTAL, DENTAL OFFICE OF DR. KIM AND LEE
License/Registration Type: Fictitious Name Permit
License Number: 16917 Primary Status: Expired
Address :
9009 KNOTT AVE
BUENA PARK CA 90620
ORANGE COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Pediatric Minimal Sedation Permit
Name: KIM, DAEUK DAVID
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 182 Primary Status: Current - Active
Address :
1205 W RENAISSANCE PKWY, UNIT 240
RIALTO CA 92376
SAN BERNARDINO COUNTY
