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Licensing details for: 18992

Name: OXY DENTAL LOMITA DENTAL GROUP OF RONALD CW KIM DENTAL INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1816 LOMITA BLVD
LOMITA CA 90717
LOS ANGELES county
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Practice Location

1816 LOMITA BLVD
LOMITA CA 90717
LOS ANGELES county
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Issuance Date

October 14, 2024

Expiration Date

April 30, 2027

Current Date / Time

April 3, 2026
9:27:11 AM

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, RONALD CHONG WU

License/Registration Type: Dentist License

License Number: 47108 Primary Status: Current - Active

Address :
1014 N. Vermont Ave
LOS ANGELES CA 90029
LOS ANGELES COUNTY

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