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Licensing details for: 182

Name: KIM, DAEUK DAVID

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Previous Names: KIM, DAE UK

Address of Record

144 WATERFALL LN
BREA CA 92821
ORANGE county
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Practice Location

1205 W RENAISSANCE PKWY, UNIT 240
RIALTO CA 92376
SAN BERNARDINO county
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Issuance Date

October 31, 2023

Expiration Date

July 31, 2025

Current Date / Time

June 6, 2025
9:57:11 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILEE DENTAL, DENTAL OFFICE OF DR. KIM AND LEE

License/Registration Type: Fictitious Name Permit

License Number: 16918 Primary Status: Expired

Address :
1686 W KATELLA AVE
ANAHEIM CA 92802
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HELLO FRIENDS DENTAL DENTAL OFFICE OF DR. DAEUK KIM

License/Registration Type: Fictitious Name Permit

License Number: 18694 Primary Status: Current - Active

Address :
615 PACIFIC AVE.
LONG BEACH CA 90802
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILEE DENTAL, DENTAL OFFICE OF DR. KIM AND LEE

License/Registration Type: Fictitious Name Permit

License Number: 16917 Primary Status: Expired

Address :
9009 KNOTT AVE
BUENA PARK CA 90620
ORANGE COUNTY

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PMS to DDS or OMS or SP

License/Registration Role: Pediatric Minimal Sedation Permit

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

Name: KIM, DAEUK DAVID

License/Registration Type: Dentist License

License Number: 102817 Primary Status: Current - Active

Address :
144 Waterfall Ln
BREA CA 92821-4348
ORANGE COUNTY

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