Dental Board of California
Licensing details for: 2830
Name: KIM, KELLY YEONSU
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
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
