Dental Board of California
Licensing details for: 1320
Name: KIM, JIN WAN
License Type: Conscious Sedation
Primary Status: Cancelled
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, JIN WAN
License/Registration Type: Dentist License
License Number: 103133 Primary Status: Current - Active
Address :
408 Hillsborough Blvd
SAN MATEO CA 94402-1126
SAN MATEO COUNTY
