Dental Board of California
Licensing details for: 81023
Name: PRIYAWAT AND KIM DENTAL SERVICES
License Type: Additional Office Permit
Primary Status: Expired
Organization Classification: Partnership
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: PRIYAWAT, RUPPORN
License/Registration Type: Dentist License
License Number: 61647 Primary Status: Current - Active
Address :
264 Desert Bloom
IRVINE CA 92618-8872
ORANGE COUNTY
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, MARIA
License/Registration Type: Dentist License
License Number: 65123 Primary Status: Current - Active
Address :
15911 Pomona Rincon Rd
120
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
