Grand Dental Spa Kim Dental Group
ExpiredCalifornia license 12792
License
- Licensed by
- Dental Board of California
- License number
- 12792
- Status
- Expired (Delinquent)
- First issued
- April 20, 2016
- Expired
- July 31, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Kim Eugene (52623)
Contact
1776 Grand Avenue
San Diego, CA 92109
San Diego, CA 92109
San Diego County