Individual
DIANA FURUKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5345 N EL DORADO ST STE 2, STOCKTON, CA 95207-5848
(209) 952-2933
Mailing address
5345 N EL DORADO ST STE 2, STOCKTON, CA 95207-5848
(209) 952-2933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100478
CA
Other
Enumeration date
07/19/2016
Last updated
09/21/2018
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