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Licensing details for: 11932

Name: LEE & KIM DENTAL, CORP.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: LEE AND KIM DENTAL CORPORATION

Address of Record

17334 PIONEER BLVD
ARTESIA CA 90701
LOS ANGELES county
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Practice Location

17334 PIONEER BLVD
ARTESIA CA 90701
LOS ANGELES county
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Issuance Date

June 17, 2015

Expiration Date

October 31, 2019

Current Date / Time

June 6, 2025
8:53:38 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: KIM, DONG MYUNG

License/Registration Type: Dentist License

License Number: 55265 Primary Status: Current - Active

Address :
1055 S Alvarado St
LOS ANGELES CA 90006-3711

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