License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: KIM, ERICA TAMMY
License/Registration Type: Dentist License
License Number: 100080 Primary Status: Current - Active
Address :
230 S Jackson St Apt 304
GLENDALE CA 91205-1490
LOS ANGELES COUNTY
