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Licensing details for: 2210

Name: A BEAUTIFUL SMILE DENTAL CARE

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

PRACTICE OF INSOO KIM, DDS,INC.
8350LOS COYOTES DRIVE
BUENA PARK CA 90621
ORANGE county
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Issuance Date

November 19, 1998

Expiration Date

March 31, 2021

Current Date / Time

June 6, 2025
1:21:2 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KIM, INSOO

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, INSOO

License/Registration Type: Dentist License

License Number: 30377 Primary Status: Expired

Address :
4600 Beach Blvd Ste A
4600 beach blvd.#A
BUENA PARK CA 90621-1166

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