Dental Board of California
Licensing details for: 13653
Name: GOLDEN AGE DENTAL CARE, LOVINGER, KIM, & KHZOUZ DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KIM, STANLEY SHINYEONG
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHZOUZ, ROBERT
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: KHZOUZ, ROBERT
License/Registration Type: Dentist License
License Number: 38700 Primary Status: Current - Active
Address :
10180 Marchant Ave
TUSTIN CA 92782-1450
ORANGE COUNTY
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, STANLEY SHINYEONG
License/Registration Type: Dentist License
License Number: 58177 Primary Status: Current - Active
Address :
4362 Avenida Rio Del Oro
YORBA LINDA CA 92886-3011
ORANGE COUNTY
