Individual
JOHN FUJIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1015 5TH ST, MODESTO, CA 95351-2810
(209) 577-4263
(209) 577-2056
Mailing address
1015 5TH ST, MODESTO, CA 95351-2810
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
35609
CA
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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