Jessica Marie Keiko Fukushima
ActiveCalifornia license 110471
License
- Licensed by
- Dental Board of California
- License number
- 110471
- Status
- Active (Current)
- First issued
- August 6, 2024
- Expires
- February 28, 2027
- License holder
- Jessica Marie Keiko Fukushima
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
6451 Capps Ave
Reseda, CA 91335-6007
Reseda, CA 91335-6007
Los Angeles County