Dental Board of California
Licensing details for: 1971
Name: VALENCIA DENTAL CARE,DENTAL PRACTICE OF DAVID R.WYNDHAMSMITH, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: VALENCIA DENTAL CARE, PRACTICE OF DAVID R.WYNDHAMSMITH, DDS,
Address of Record
23838 VALENCIA BLVD.
SUITE 301
VALENCIA CA 91355
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: WYNDHAMSMITH, DAVID RICHARD
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KIM, MICHAEL
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: WYNDHAMSMITH, DAVID R
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KIM, MICHAEL DUCKHYUN
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, MICHAEL DUCKHYUN
License/Registration Type: Dentist License
License Number: 42739 Primary Status: Current - Active
Address :
2002 S Hoover St
2002 S HOOVER ST
LOS ANGELES CA 90007-1323
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: WYNDHAMSMITH, DAVID RICHARD
License/Registration Type: Dentist License
License Number: 28413 Primary Status: Current - Active
Address :
1092 E Green St
PASADENA CA 91106-2506
LOS ANGELES COUNTY
