Dental Board of California
Licensing details for: 19458
Name: VISALIA ORTHODONTICS DENTAL PRACTICE OF KIM DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
4041 W CALDWELL AVE SUITE A
VISALIA CA 93277
TULARE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KIM, JUN SIK
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, JUN SIK
License/Registration Type: Dentist License
License Number: 51270 Primary Status: Current - Active
Address :
1270 N LEMOORE AVE
LEMOORE CA 93245-2350
KINGS COUNTY
