Ian Jae Fuller
ActiveCalifornia license 108278
License
- Licensed by
- Dental Board of California
- License number
- 108278
- Status
- Active (Current)
- First issued
- October 17, 2022
- Expires
- February 29, 2028
- License holder
- Ian Jae Fuller
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2519 Encinal Ave
Alameda, CA 94501-4625
Alameda, CA 94501-4625
Alameda County