Dental Board of California
Licensing details for: 27636
Name: ICHIUJI, JOHN KIYOSHI
License Type: Dentist
Primary Status: Current - Active
Address of Record
9260 ALCOSTA BLVD STE D-30
SAN RAMON CA 94583
CONTRA COSTA county
Map
License Relationships
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: TRI-VALLELY DENTAL ARTS DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 201 Primary Status: Expired
Address :
TOI ICHIUJIA BLVD
9260 ALCOSTA BLVD STE D30
SAN RAMON CA 94583
CONTRA COSTA COUNTY
