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Licensing details for: 18332

Name: LUMINOUS DENTAL SPA, DENTAL GROUP OF E KIM DDS INC.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1400 REYNOLDS AVE., STE 150
IRVINE CA 92614
ORANGE county
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Practice Location

1400 REYNOLDS AVE., STE 150
IRVINE CA 92614
ORANGE county
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Issuance Date

January 3, 2024

Expiration Date

September 30, 2024

Current Date / Time

June 6, 2025
2:0:43 AM

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

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