Dental Board of California
Licensing details for: 30377
Name: KIM, INSOO
License Type: Dentist
Primary Status: Expired
Secondary Status: Reduced Renewal Fee
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: A BEAUTIFUL SMILE DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 2210 Primary Status: Expired
Address :
PRACTICE OF INSOO KIM, DDS,INC.
8350LOS COYOTES DRIVE
BUENA PARK CA 90621
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: A BEAUTIFUL SMILE DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 2210 Primary Status: Expired
Address :
PRACTICE OF INSOO KIM, DDS,INC.
8350LOS COYOTES DRIVE
BUENA PARK CA 90621
ORANGE COUNTY
