Dental Board of California
Licensing details for: 48658
Name: PARK-KIM, JANICE YOUNG
License Type: Dentist
Primary Status: Current - Active
Previous Names: PARK, JANICE YOUNG
Address of Record
3971 IRVINE BLVD. STE 102
IRVINE CA 92602
ORANGE county
Map
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
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
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: PARK-KIM, JANICE YOUNG
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 727 Primary Status: Cancelled
Address :
3971 IRVINE BLVD
STE 102
IRVINE CA 92602
ORANGE COUNTY
