Dental Board of California
Licensing details for: 64139
Name: KIM, DAVID JOON
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
235 Market St
407
SAN DIEGO CA 92101-6772
SAN DIEGO 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: DAVID KIM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80887 Primary Status: Current - Active
Address :
1455 G ST
SAN DIEGO CA 92101
SAN DIEGO 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: DAVID KIM, DDS
License/Registration Type: Additional Office Permit
License Number: 82235 Primary Status: Current - Active
Address :
435 4th Ave.
SAN DIEGO CA 92101
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: EAST VILLAGE DENTAL GROUP, DAVID KIM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16494 Primary Status: Current - Active
Address :
1455 G ST
SAN DIEGO CA 92101
SAN DIEGO 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: EAST VILLAGE DENTAL GROUP, DAVID KIM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16494 Primary Status: Current - Active
Address :
1455 G ST
SAN DIEGO CA 92101
SAN DIEGO COUNTY
