Dental Board of California
Licensing details for: 58177
Name: KIM, STANLEY SHINYEONG
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
Address of Record
4362 Avenida Rio Del Oro
YORBA LINDA CA 92886-3011
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GOLDEN AGE DENTAL CARE, LOVINGER, KIM, & KHZOUZ DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 13653 Primary Status: Current - Active
Address :
701 S RAYMOND AVE STE 4B
FULLERTON CA 92831
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: GOLDEN AGE DENTAL CARE, LOVINGER, KIM, & KHZOUZ DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 13653 Primary Status: Current - Active
Address :
701 S RAYMOND AVE STE 4B
FULLERTON CA 92831
ORANGE COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: MARSHALL, DEBBIE JACQUELINE
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 275 Primary Status: Current - Active
Address Not Disclosed
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: KOGAN, ZOYA
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 122 Primary Status: Current - Active
Address Not Disclosed
