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Licensing details for: 61221

Name: KIM, BRIAN BYUNG WOOK

License Type: Dentist

Primary Status: Current - Active

Previous Names: KIM, BYUNGWOOK

Address of Record

2614 DORSET DR
TORRANCE CA 90503
LOS ANGELES county
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Practice Location

12620 BROOKHURST ST., UNIT #3
GARDEN GROVE CA 92840
ORANGE county
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23000 CRENSHAW BLVD., STE 207
TORRANCE CA 90505
LOS ANGELES county
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431 S Western Ave
LOS ANGELES CA 90020-4102
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680 SILSHIRE PL., STE #314
LOS ANGELES CA 90005
LOS ANGELES county
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Issuance Date

March 20, 2012

Expiration Date

September 30, 2026

Current Date / Time

June 5, 2026
6:51:50 PM

License Relationships

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: BK DENTAL OFFICE PRACTICE OF BYUNG WOOK KIM, DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18301 Primary Status: Current - Active

Address :
431 S WESTERN AVE
LOS ANGELES CA 90020-4102
LOS ANGELES COUNTY

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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: GRACE DENTISTRY, DENTAL OFFICE OF BYUNGWOOK KIM, DDS

License/Registration Type: Fictitious Name Permit

License Number: 13396 Primary Status: Cancelled

Address :
1007 W La Palma Ave Ste 2
ANAHEIM CA 92801-3620
ORANGE COUNTY

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