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Licensing details for: 102943

Name: CHUNG, KEVIN WON-JUN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

5533 E Stearns St
Suite A
LONG BEACH CA 90815-3125
LOS ANGELES county
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Issuance Date

July 31, 2018

Expiration Date

May 31, 2026

Current Date / Time

October 30, 2025
10:15:47 AM

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: KEVIN CHUNG DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 81265 Primary Status: Current - Active

Address :
5533-A E. STEARNS STREET
LONG BEACH CA 90815
LOS ANGELES COUNTY

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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: KEVIN CHUNG, DDS

License/Registration Type: Additional Office Permit

License Number: 82036 Primary Status: Current - Active

Address :
16411 BELLFLOWER BLVD. SUITE 103
BELLFLOWER CA 90706
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: THE DENTAL OFFICE OF BELLFLOWER, ROBERTO NOCHEZ DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 19078 Primary Status: Current - Active

Address :
16411 BELLFLOWER BLVD., SUITE 103
BELLFLOWER CA 90706
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: LONG BEACH SMILES DENTISTRY DENTAL GROUP, KEVIN CHUNG DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17265 Primary Status: Current - Active

Address :
3533-A E. STEARNS STREET
LONG BEACH CA 90815
LOS ANGELES COUNTY

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