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Licensing details for: 39668

Name: KIM, SCOTT Y J

License Type: Dentist

Primary Status: Current - Active

Previous Names: KIM, YONG JIN

Address of Record

4220 W 3RD ST #101
LOS ANGELES CA 90020
LOS ANGELES county
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Issuance Date

August 2, 1991

Expiration Date

July 31, 2028

Current Date / Time

June 13, 2026
6:31:37 PM

License Relationships

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: BEVERLY DENTAL GROUP OF SCOTT Y. J. KIM, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 5923 Primary Status: Current - Active

Address :
4220 W 3RD STREET
STE 101
LOS ANGELES CA 90020
LOS ANGELES COUNTY

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