Michael Roy Fukawa
ActiveCalifornia license 34959
License
- Licensed by
- Dental Board of California
- License number
- 34959
- Status
- Active (Current)
- First issued
- September 9, 1986
- Expires
- March 31, 2028
- License holder
- Michael Roy 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