License Directory

Grand Dental Spa Kim Dental Group

Expired

California 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 County