Dental Board of California
Licensing details for: 62603
Name: KIM, EUGENIE HEO
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
62 SWIFT
IRVINE CA 92618-1705
ORANGE county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: E KIM DENTAL CORP
License/Registration Type: Additional Office Permit
License Number: 79814 Primary Status: Current - Active
Address :
12190 PERRIS BLVD, STE D
MORENO VALLEY CA 92557
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: E. KIM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79940 Primary Status: Expired
Address :
11201 CALIFORNIA STREET #D
REDLANDS CA 92373
SAN BERNARDINO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: E KIM DENTAL CORP
License/Registration Type: Additional Office Permit
License Number: 79791 Primary Status: Current - Active
Address :
14661 MAIN ST
HESPERIA CA 92345
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: SMILE DENTAL DENTAL OFFICE OF EUGENIE KIM
License/Registration Type: Fictitious Name Permit
License Number: 14562 Primary Status: Current - Active
Address :
12190 PERRIS BLVD, STE D
MORENO VALLEY CA 92557
RIVERSIDE 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: LUMINOUS DENTAL SPA, DENTAL GROUP OF E KIM DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 18332 Primary Status: Expired
Address :
1400 REYNOLDS AVE., STE 150
IRVINE CA 92614
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: DESERT DENTIST DENTAL OFFICE OF EUGENIE KIM
License/Registration Type: Fictitious Name Permit
License Number: 14563 Primary Status: Current - Active
Address :
14661 MAIN ST
HESPERIA CA 92345
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: VALLEY DESERT DENTIST DENTAL OFFICE OF EUGENIE KIM
License/Registration Type: Fictitious Name Permit
License Number: 13326 Primary Status: Current - Active
Address :
21580 BEAR VALLEY RD #B2-2
APPLE VALLEY CA 92308
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: VIVE DENTAL OFFICE OF EUGENIE KIM
License/Registration Type: Fictitious Name Permit
License Number: 14896 Primary Status: Expired
Address :
11201 CALIFORNIA ST., STE D
REDLANDS CA 92373
SAN BERNARDINO COUNTY
MS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Moderate Sedation Permit
Name: KIM, EUGENIE HEO
License/Registration Type: Moderate Sedation Permit
License Number: 368 Primary Status: Current - Active
Address :
1400 REYNOLDS AVE. UNIT #150
IRVINE CA 92614
ORANGE COUNTY
