KIYOSHI FUKUDA

SANTA ROSA, CA
NPI1306921804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  20861)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
Mr. KIYOSHI FUKUDA DDS
1154 MONTGOMERY DR STE 2
SANTA ROSA, CA 95405
Phone number: 707-579-4600
Mailing Address
Mr. KIYOSHI FUKUDA DDS
1154 MONTGOMERY DR STE 2
SANTA ROSA, CA 95405
Phone number: 707-579-4600
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