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Licensing details for: 80880

Name: RONALD KIM, DDS, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: RONALD KIM DDS, INC

Address of Record

7301 SEPULVEDA BLVD #4
VAN NUYS CA 91405
LOS ANGELES county
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Practice Location

7301 SEPULVEDA BLVD #4
VAN NUYS CA 91405
LOS ANGELES county
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Issuance Date

April 20, 2021

Expiration Date

April 30, 2025

Current Date / Time

April 3, 2026
9:28:38 AM

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, RONALD CHONG WU

License/Registration Type: Dentist License

License Number: 47108 Primary Status: Current - Active

Address :
1014 N. Vermont Ave
LOS ANGELES CA 90029
LOS ANGELES COUNTY

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