Jessica Fukushima Valid NPI

Individual provider · Dentist · Pacoima, CA

NPI

1699468876

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

110471 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2023-06-01

Last updated

2024-09-06