Dental Board of California
Licensing details for: 728
Name: KIM, KELLY YEONSU
License Type: Conscious Sedation
Primary Status: Cancelled
Address of Record
6764 LOS VERDES DR #6
RANCHO PALOS VERDES CA 90275
LOS ANGELES county
Map
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, KELLY YEONSU
License/Registration Type: Dentist License
License Number: 58075 Primary Status: Current - Active
Address :
24088 CLINTON KEITH RD STE 100
WILDOMAR CA 92595
RIVERSIDE COUNTY
