Dental Board of California
Licensing details for: 18616
Name: HAVEN COSTMETIC DENTISTRY AND IMPLANT CENTER DENTAL GROUP OF DONGHAN 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, DONGHAN
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, DONGHAN
License/Registration Type: Dentist License
License Number: 100847 Primary Status: Current - Active
Address :
8415 Haven Ave
8415 haven ave
RANCHO CUCAMONGA CA 91730-3893
