Trent Mikio Ichiuji
ActiveCalifornia license 110211
License
- Licensed by
- Dental Board of California
- License number
- 110211
- Status
- Active (Current)
- First issued
- June 20, 2024
- Expires
- February 28, 2027
- License holder
- Trent Mikio Ichiuji
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3450 Wayne Avenue, 17n
Bronx, NY 10467
Bronx, NY 10467
New York County