Dental Board of California
Licensing details for: 58103
Name: KIM, JIN YOUNG
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
5811 PINE AVE
Suite B
CHINO HILLS CA 91709
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PINE SMILES ORTHODONTICS AND PEDIATRIC DENTISTRY, DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 11054 Primary Status: Current - Active
Address :
5811 PINE AVENUE
SUITE B
CHINO HILLS CA 91709
SAN BERNARDINO 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: PINE SMILES ORTHODONTICS AND PEDIATRIC DENTISTRY, DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 11054 Primary Status: Current - Active
Address :
5811 PINE AVENUE
SUITE B
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
