Dental Board of California

Licensing details for: 3032

Name: GENTRY PLAZA DENTAL OFFICE, DONG J. KIM, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

68-555 RAMON ROAD SUITE D-102
CATHEDRAL CITY CA 92234
RIVERSIDE county
Map

Issuance Date

January 18, 2001

Expiration Date

March 31, 2014

Current Date / Time

December 13, 2025
7:55:7 AM

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: KIM, DONG JIN

License/Registration Type: Dentist License

License Number: 45277 Primary Status: Current - Active

Address :
69420 RAMON RD
CATHEDRAL CITY CA 92234
RIVERSIDE COUNTY