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Licensing details for: 79814

Name: E KIM DENTAL CORP

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

12190 PERRIS BLVD, STE D
MORENO VALLEY CA 92557
RIVERSIDE county
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Practice Location

12190 PERRIS BLVD, STE D
MORENO VALLEY CA 92557
RIVERSIDE county
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Issuance Date

September 26, 2018

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
11:32:48 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, EUGENIE HEO

License/Registration Type: Dentist License

License Number: 62603 Primary Status: Current - Active

Address :
62 SWIFT
IRVINE CA 92618-1705
ORANGE COUNTY

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