Dental Board of California
Licensing details for: 17635
Name: FONTANA DENTAL CLINIC DENTAL OFFICE OF HAN Y KIM DDS, INC.
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, HAN YOU
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, HAN YOU
License/Registration Type: Dentist License
License Number: 101556 Primary Status: Current - Active
Address :
16989 Valley Blvd
Ste B
FONTANA CA 92335-6806
SAN BERNARDINO COUNTY
