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Licensing details for: 5923

Name: BEVERLY DENTAL GROUP OF SCOTT Y. J. KIM, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

4220 W 3RD STREET
STE 101
LOS ANGELES CA 90020
LOS ANGELES county
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Issuance Date

January 20, 2006

Expiration Date

July 31, 2026

Current Date / Time

June 13, 2026
5:45:32 PM

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, SCOTT Y J

License/Registration Type: Dentist License

License Number: 39668 Primary Status: Current - Active

Address :
4220 W 3RD ST #101
LOS ANGELES CA 90020
LOS ANGELES COUNTY

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