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Licensing details for: 17481

Name: REDEFINE DENTISTRY DENTAL OFFICE OF WILLIAM KIM DDS INC

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

12204 ARTESIA BLVD
ARTESIA CA 90701
LOS ANGELES county
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Practice Location

12204 ARTESIA BLVD
ARTESIA CA 90701
LOS ANGELES county
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Issuance Date

November 3, 2022

Expiration Date

August 31, 2024

Current Date / Time

June 13, 2026
5:55:25 PM

License Relationships

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, WILLIAM WOO KYEOM

License/Registration Type: Dentist License

License Number: 106527 Primary Status: Current - Active

Address :
12204 Artesia Blvd
ARTESIA CA 90701-4345
LOS ANGELES COUNTY

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