Dental Board of California
Licensing details for: 47108
Name: KIM, RONALD CHONG WU
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Probation Terminated
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: BUEHLER AND KIM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 9481 Primary Status: Cancelled
Address :
10910 OLSON DR.
STE. 100
RANCHO CORDOVA CA 95670
SACRAMENTO COUNTY
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: RONALD KIM, DDS
License/Registration Type: Additional Office Permit
License Number: 81966 Primary Status: Current - Active
Address :
1816 LOMITA BLVD
LOMITA CA 90717
LOS ANGELES COUNTY
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: RONALD KIM, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 80880 Primary Status: Cancelled
Address :
7301 SEPULVEDA BLVD #4
VAN NUYS CA 91405
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: MAC DENTAL GROUP OF UNION, RONALD CHONG KIM DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 16236 Primary Status: Cancelled
Address :
1269 S. UNION AVE
LOS ANGELES CA 90015
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: MAC DENTAL GROUP, RONALD KIM DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 15985 Primary Status: Cancelled
Address :
7301 SEPULVEDA BLVD
VAN NUYS CA 91405
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: EASTERN DENTAL, RONALD C KIM, DDS
License/Registration Type: Fictitious Name Permit
License Number: 3316 Primary Status: Cancelled
Address :
11466 SOUTH STREET
CERRITOS CA 90703
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: OXY DENTAL LOMITA DENTAL GROUP OF RONALD CW KIM DENTAL INC
License/Registration Type: Fictitious Name Permit
License Number: 18992 Primary Status: Current - Active
Address :
1816 LOMITA BLVD
LOMITA CA 90717
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: MAC DENTAL GROUP, RONALD KIM DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 16280 Primary Status: Cancelled
Address :
7301 SEPULVEDA BLVD #4
VAN NUYS CA 91405
LOS ANGELES COUNTY
