Dental Board of California
Licensing details for: 42670
Name: KIM, MICHELLE KYONGAH
License Type: Dentist
Primary Status: Current - Active
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: MICHELLE K. KIM D.D.S., CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11499 Primary Status: Expired
Address :
8819 WHITTIER BLVD. STE 102
PICO RIVERA CA 90060
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BRIGHT SMILE DENTAL OFFICE, MICHELLE K. KIM D.D.S. CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 10808 Primary Status: Expired
Address :
8819 WHITTIER BLVD SUITE 102
PICO RIVERA CA 90660
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BRIGHT SMILE DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 2921 Primary Status: Current - Active
Address :
2245 E Colorado Blvd Ste 201
PASADENA CA 91107-3651
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: BRIGHT SMILE DENTAL OFFICE, MICHELLE K. KIM D.D.S. CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 10808 Primary Status: Expired
Address :
8819 WHITTIER BLVD SUITE 102
PICO RIVERA CA 90660
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: BRIGHT SMILE DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 2921 Primary Status: Current - Active
Address :
2245 E Colorado Blvd Ste 201
PASADENA CA 91107-3651
LOS ANGELES COUNTY
