Dental Board of California
Licensing details for: 103190
Name: KIM, CHRISTINA MEE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: CHRISTINA KIM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81410 Primary Status: Current - Active
Address :
11806 WHITTIER BLVD., SUITE E
WHITTIER CA 90601
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: WHITTIER MODERN DENTISTRY DENTAL GROUP, CHRISTINA KIM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17613 Primary Status: Current - Active
Address :
11806 WHITTIER BLVD., SUITE E
WHITTIER CA 90601
LOS ANGELES COUNTY
