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Licensing details for: 6124

Name: NORTHPARK DENTAL GROUP OF JANICE Y. PARK-KIM, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: NORTHPARK DENTAL

Address of Record

3971 IRVINE BLVD.
IRVINE CA 92602
ORANGE county
Map

Issuance Date

April 19, 2006

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
3:14:22 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KIM, JAMES WOOSIK

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KIM, JAMES W

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PARK-KIM, JANICE YOUNG

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PARK-KIM, JANICE Y

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: PARK-KIM, JANICE YOUNG

License/Registration Type: Dentist License

License Number: 48658 Primary Status: Current - Active

Address :
3971 IRVINE BLVD. STE 102
IRVINE CA 92602
ORANGE COUNTY

Map

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, JAMES WOOSIK

License/Registration Type: Dentist License

License Number: 43617 Primary Status: Current - Active

Address :
3971 IRVINE BLVD STE 102
IRVINE CA 92602
ORANGE COUNTY

Map

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