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Licensing details for: 10808

Name: BRIGHT SMILE DENTAL OFFICE, MICHELLE K. KIM D.D.S. CORPORATION

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: BRIGHT SMILE DENTAL MICHELLE K. KIM D.D.S. CORPORATION

Address of Record

8819 WHITTIER BLVD SUITE 102
PICO RIVERA CA 90660
LOS ANGELES county
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Practice Location

8819 WHITTIER BLVD SUITE 102
PICO RIVERA CA 90660
LOS ANGELES county
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Issuance Date

September 30, 2013

Expiration Date

November 30, 2022

Current Date / Time

June 6, 2025
9:51:36 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KIM, MICHELLE KYONGAH

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: KIM, MICHELLE KYONGAH

License/Registration Type: Dentist License

License Number: 42670 Primary Status: Current - Active

Address :
2245 E COLORADO BLVD STE 201
2245 E COLORADO BLVD STE 201
PASADENA CA 91107-3651
LOS ANGELES COUNTY

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