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Licensing details for: 1501

Name: VALENCIA DENTAL CARE, DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

DRS WYNDHAMSMITH & KIM
23838 VALENCIA BLVD, STE 301
VALENCIA CA 91355
LOS ANGELES county
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Issuance Date

November 20, 1996

Expiration Date

October 31, 1999

Current Date / Time

June 6, 2025
1:29:56 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KIM, MICHAEL DUCKHYUN

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, MICHAEL DUCKHYUN

License/Registration Type: Dentist License

License Number: 42739 Primary Status: Current - Active

Address :
2002 S Hoover St
2002 S HOOVER ST
LOS ANGELES CA 90007-1323

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