Dental Board of California
Licensing details for: 15469
Name: DENTAL GROUP SANTA PAULA DENTAL CARE OF DR. AHREUM KIM AND DR. SAM PARK
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, AHREUM
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, AHREUM
License/Registration Type: Dentist License
License Number: 102074 Primary Status: Current - Active
Address :
251 W Harvard Blvd
SANTA PAULA CA 93060-3213
VENTURA COUNTY
