Stephanie Keiko Fukawa
ActiveCalifornia license 109206
License
- Licensed by
- Dental Board of California
- License number
- 109206
- Status
- Active (Current)
- First issued
- August 23, 2023
- Expires
- February 28, 2027
- License holder
- Stephanie Keiko Fukawa
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2000 Forest Ave
Suite D
San Jose, CA 95128-4831
Suite D
San Jose, CA 95128-4831
Santa Clara County