Dental Board of California
Licensing details for: 14563
Name: DESERT DENTIST DENTAL OFFICE OF EUGENIE KIM
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, EUGENIE HEO
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, EUGENIE HEO
License/Registration Type: Dentist License
License Number: 62603 Primary Status: Current - Active
Address :
62 SWIFT
IRVINE CA 92618-1705
ORANGE COUNTY
