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Licensing details for: 5702

Name: MICHAEL D KIM, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

23838 VALENCIA BLVD
SUITE 301
VALENCIA CA 91355
LOS ANGELES county
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Issuance Date

December 3, 1996

Expiration Date

October 31, 2011

Current Date / Time

June 6, 2025
10:2:49 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, MICHAEL DUCKHYUN

License/Registration Type: Dentist License

License Number: 42739 Primary Status: Current - Active

Address :
2002 S Hoover St
2002 S HOOVER ST
LOS ANGELES CA 90007-1323

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