Dental Board of California
Licensing details for: 62259
Name: KIM, JEKYONG JAY
License Type: Dentist
Primary Status: Current - Active
Address of Record
930 Sunnyslope Rd
Suite B-3
HOLLISTER CA 95023
SAN BENITO county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: KIM, JEKYONG JAY
License/Registration Type: Conscious Sedation Permit
License Number: 1200 Primary Status: Cancelled
Address :
2998 EL CAMINO REAL, UNIT 200
SANTA CLARA CA 95051
SANTA CLARA 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, JEKYONG JAY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3194 Primary Status: Current - Active
Address :
930 Sunnyslope Rd
Suite B-3
HOLLISTER CA 95023
SAN BENITO COUNTY
