Dental Board of California
Licensing details for: 13396
Name: GRACE DENTISTRY, DENTAL OFFICE OF BYUNGWOOK KIM, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
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, BRIAN BYUNG WOOK
License/Registration Type: Dentist License
License Number: 61221 Primary Status: Current - Active
Address :
12620 BROOKHURST ST., UNIT #3
GARDEN GROVE CA 92840
ORANGE COUNTY
