Dental Board of California
Licensing details for: 12234
Name: SMILE DENTAL DENTAL OFFICE OF LEE AND KIM DENTAL CORP.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: SMILE DENTAL
Address of Record
17334 PIONEER BLVD
ARTESIA CA 90701
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KIM, DONG MYUNG
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, DONG MYUNG
License/Registration Type: Dentist License
License Number: 55265 Primary Status: Current - Active
Address :
1055 S Alvarado St
LOS ANGELES CA 90006-3711
