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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

Address of Record

26720 Towne Centre Drive
Suite B
FOOTHILL RANCH CA 92610-2840
ORANGE county
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Practice Location

26720 Towne Centre Drive
Suite B
FOOTHILL RANCH CA 92610-2840
ORANGE county
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Issuance Date

September 27, 2017

Expiration Date

May 31, 2026

Current Date / Time

June 7, 2025
3:13:46 AM

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

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