License Directory

Ian Jae Fuller

Active

California 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

More from the license record

License type code
4401

Contact

2519 Encinal Ave
Alameda, CA 94501-4625
Alameda County