Jason Ben Nishikubo
ActiveCalifornia license 111174
License
- Licensed by
- Dental Board of California
- License number
- 111174
- Status
- Active (Current)
- First issued
- January 9, 2025
- Expires
- October 31, 2028
- License holder
- Jason Ben Nishikubo
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
44215 Camino Azul
La Quinta, CA 92253-3951
La Quinta, CA 92253-3951
Riverside County