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Licensing details for: 59408

Name: KIM-BUNDY, YOUNGSUN ALICE

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: KIM, YOUNGSUN ALICE

Address of Record

2825 Santa Monica Blvd Ste 301
SANTA MONICA CA 90404-2429
LOS ANGELES county
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Practice Location

2825 Santa Monica Blvd
301
SANTA MONICA CA 90404-2429
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Issuance Date

June 25, 2010

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
10:33:51 PM

License Relationships

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: KIM-BUNDY, YOUNGSUN ALICE

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2355 Primary Status: Cancelled

Address :
1427 Mission St
SOUTH PASADENA CA 91030-3213
LOS ANGELES COUNTY

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