Dental Board of California
Licensing details for: 59987
Name: KIM, ROBERT M
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: KIM, ROBERT
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: AVION DENTAL, PRACTICE OF ROBERT M. KIM, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 9704 Primary Status: Current - Active
Address :
4665 CHINO HILLS PARKWAY, STE. D
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: AVION DENTAL, PRACTICE OF ROBERT M. KIM, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 9704 Primary Status: Current - Active
Address :
4665 CHINO HILLS PARKWAY, STE. D
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
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, ROBERT M
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4444 Primary Status: Current - Active
Address :
4665 CHINO HILLS PKWY #D
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
