Takashi Koyama
ActiveCalifornia license 61078
License
- Licensed by
- Dental Board of California
- License number
- 61078
- Status
- Active (Current)
- First issued
- December 22, 2011
- Expires
- June 30, 2028
- License holder
- Takashi Koyama
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
12350 SW Elsinore Dr
Port St Lucie, FL 34987-1900
Port St Lucie, FL 34987-1900
St. Lucie County