Blake Ken Kunimoto
ActiveCalifornia license 55669
License
- Licensed by
- Dental Board of California
- License number
- 55669
- Status
- Active (Current)
- First issued
- May 2, 2007
- Expires
- April 30, 2027
- License holder
- Blake Ken Kunimoto
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4661 Precissi Ln
Suite A
Stockton, CA 95207-6206
Suite A
Stockton, CA 95207-6206
San Joaquin County