Dental Board of California
Licensing details for: 11936
Name: PRIME DENTAL CARE, DENTAL OFFICE OF SOON Y. SHIM, D.D.S., INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: PRIME DENTAL CARE
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHIM, SOON YONG
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: SHIM, SOON YONG
License/Registration Type: Dentist License
License Number: 57694 Primary Status: Current - Active
Address :
7540 ORANGETHROPE AVE #C4
BUENA PARK CA 90621
ORANGE COUNTY
