
Dental Board of California
Licensing details for: 13767
Name: HEALTHY LIVING DENTISTRY, R KIM DENTAL GROUP, INC.
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, ROY HYUN JAE
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, ROY HYUN JAE
License/Registration Type: Dentist License
License Number: 64548 Primary Status: Current - Active
Address :
26720 Towne Centre Dr
Suite #B
FOOTHILL RANCH CA 92610-2840
ORANGE COUNTY