Dental Board of California
Licensing details for: 31300
Name: KIM, KWANG-JIN
License Type: Dentist
Primary Status: Current - Active
Address of Record
3300 W ROSECRANS AVE STE 105
HAWTHORNE CA 90250
LOS ANGELES 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 AND DONG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 7159 Primary Status: Cancelled
Address :
8050 ALONDRA BLVD #A
PARAMOUNT CA 90723
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KIM'S PARAMOUNT DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2705 Primary Status: Cancelled
Address :
8050 ALONDRA BLVD #A
PARAMOUNT CA 90723
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: KIM'S PARAMOUNT DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2705 Primary Status: Cancelled
Address :
8050 ALONDRA BLVD #A
PARAMOUNT CA 90723
LOS ANGELES COUNTY
