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Licensing details for: 55265

Name: KIM, DONG MYUNG

License Type: Dentist

Primary Status: Current - Active

Address of Record

1400 ARAPAHOE ST
LOS ANGELES CA 90006
LOS ANGELES county
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Practice Location

1055 S Alvarado St
LOS ANGELES CA 90006-3711
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Issuance Date

November 17, 2006

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
8:10:32 PM

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: LEE & KIM DENTAL, CORP.

License/Registration Type: Additional Office Permit

License Number: 11932 Primary Status: Cancelled

Address :
17334 PIONEER BLVD
ARTESIA CA 90701
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILE DENTAL DENTAL OFFICE OF LEE AND KIM DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 12234 Primary Status: Cancelled

Address :
17334 PIONEER BLVD
ARTESIA CA 90701
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILE DENTAL AND IMPLANT CENTER, DENTAL OFFICE OF DONG MYUNG KIM,

License/Registration Type: Fictitious Name Permit

License Number: 9135 Primary Status: Current - Active

Address :
1055 S ALVARADO STREET
LOS ANGELES CA 90006
LOS ANGELES 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: SMILE DENTAL DENTAL OFFICE OF LEE AND KIM DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 12234 Primary Status: Cancelled

Address :
17334 PIONEER BLVD
ARTESIA CA 90701
LOS ANGELES 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: SMILE DENTAL AND IMPLANT CENTER, DENTAL OFFICE OF DONG MYUNG KIM,

License/Registration Type: Fictitious Name Permit

License Number: 9135 Primary Status: Current - Active

Address :
1055 S ALVARADO STREET
LOS ANGELES CA 90006
LOS ANGELES COUNTY

Map

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