Dental Board of California

Licensing details for: 11499

Name: MICHELLE K. KIM D.D.S., CORPORATION

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: MICHELLE K. KIM D.D.S. CORP.

Address of Record

8819 WHITTIER BLVD. STE 102
PICO RIVERA CA 90060
LOS ANGELES county
Map

Practice Location

8819 WHITTIER BLVD. STE 102
PICO RIVERA CA 90060
LOS ANGELES county
Map

Issuance Date

August 12, 2014

Expiration Date

November 30, 2022

Current Date / Time

June 6, 2025
10:32:35 AM

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: KIM, MICHELLE KYONGAH

License/Registration Type: Dentist License

License Number: 42670 Primary Status: Current - Active

Address :
2245 E COLORADO BLVD STE 201
2245 E COLORADO BLVD STE 201
PASADENA CA 91107-3651
LOS ANGELES COUNTY