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Licensing details for: 43617

Name: KIM, JAMES WOOSIK

License Type: Dentist

Primary Status: Current - Active

Address of Record

3971 IRVINE BLVD STE 102
IRVINE CA 92602
ORANGE county
Map

Issuance Date

August 15, 1996

Expiration Date

January 31, 2027

Current Date / Time

June 7, 2025
4:15:3 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: NORTHPARK DENTAL GROUP OF JANICE Y. PARK-KIM, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 6124 Primary Status: Current - Active

Address :
3971 IRVINE BLVD.
IRVINE CA 92602
ORANGE COUNTY

Map

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: NORTHPARK DENTAL GROUP OF JANICE Y. PARK-KIM, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 6124 Primary Status: Current - Active

Address :
3971 IRVINE BLVD.
IRVINE CA 92602
ORANGE COUNTY

Map

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