Dental Board of California
Licensing details for: 8521
Name: DAVID R WYNDHAMSMITH & MICHAEL D KIM, A PROFESSIONAL
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
512 VIA DE LA VALLE, STE 101
SOLANA BEACH CA 92075
SAN DIEGO county
Map
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: WYNDHAMSMITH, DAVID RICHARD
License/Registration Type: Dentist License
License Number: 28413 Primary Status: Current - Active
Address :
1092 E Green St
PASADENA CA 91106-2506
LOS ANGELES 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, 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
