Dental Board of California
Licensing details for: 51270
Name: KIM, JUN SIK
License Type: Dentist
Primary Status: Current - Active
Previous Names: KIM, JUN S
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: JUN KIM, DDS
License/Registration Type: Additional Office Permit
License Number: 82171 Primary Status: Current - Active
Address :
4041 W CALDWELL AVE SUITE A
VISALIA CA 93277
TULARE 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: VISALIA ORTHODONTICS DENTAL PRACTICE OF KIM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19458 Primary Status: Current - Active
Address :
4041 W CALDWELL AVE SUITE A
VISALIA CA 93277
TULARE 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: LEMOORE ORTHODONTICS DENTAL PRACTICE OF KIM DENTAL CORPORATON
License/Registration Type: Fictitious Name Permit
License Number: 16733 Primary Status: Current - Active
Address :
1270 N LEMOORE AVE
LEMOORE CA 93245-2350
KINGS COUNTY



