Dental Board of California
Licensing details for: 45277
Name: KIM, DONG JIN
License Type: Dentist
Primary Status: Current - Active
Address of Record
69420 RAMON RD
CATHEDRAL CITY CA 92234
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GENTRY PLAZA DENTAL OFFICE, DONG J. KIM, DDS
License/Registration Type: Fictitious Name Permit
License Number: 3032 Primary Status: Cancelled
Address :
68-555 RAMON ROAD SUITE D-102
CATHEDRAL CITY CA 92234
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PURE DENTAL PRACTICE, DONG JIN KIM, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 10907 Primary Status: Current - Active
Address :
69420 RAMON ROAD
CATHEDRAL CITY CA 92234
RIVERSIDE 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: GENTRY PLAZA DENTAL OFFICE, DONG J. KIM, DDS
License/Registration Type: Fictitious Name Permit
License Number: 3032 Primary Status: Cancelled
Address :
68-555 RAMON ROAD SUITE D-102
CATHEDRAL CITY CA 92234
RIVERSIDE 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: PURE DENTAL PRACTICE, DONG JIN KIM, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 10907 Primary Status: Current - Active
Address :
69420 RAMON ROAD
CATHEDRAL CITY CA 92234
RIVERSIDE COUNTY
