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1578212346
STEPHANIE FUKAWA
LOS ANGELES, CA
NPI
1578212346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-21
Last Update Date
2023-04-26
Business Address
STEPHANIE FUKAWA DMD
2051 MARENGO ST
LOS ANGELES, CA 90033-1352
Phone number: 408-316-5808
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Mailing Address
STEPHANIE FUKAWA DMD
2000 FOREST AVE STE D
SAN JOSE, CA 95128-4831
Phone number: 408-316-5808
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