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Licensing details for: 18576

Name: ALTON IMPLANT CENTER & DENTISTRY DENTAL GROUP OF YEONGBOK KIM DDS INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

5405 ALTON PKWY, STE F
IRVINE CA 92604
ORANGE county
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Practice Location

5405 ALTON PKWY, STE F
IRVINE CA 92604-3717
ORANGE county
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Issuance Date

May 3, 2024

Expiration Date

August 31, 2026

Current Date / Time

September 7, 2025
7:18:18 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, YEONGBOK

License/Registration Type: Dentist License

License Number: 106393 Primary Status: Current - Active

Address :
5405 Alton Pkwy
Suite F
IRVINE CA 92604-3717
ORANGE COUNTY

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