Organization
AMY IWATA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY IWATA DDS (OWNER)
(323) 293-6188
Entity
Organization
Contact information
Practice address
3756 SANTA ROSALIA DR, STE 504, LOS ANGELES, CA 90008-3606
(323) 293-6188
Mailing address
3756 SANTA ROSALIA DR, STE 504, LOS ANGELES, CA 90008-3606
(323) 293-6188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27151
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B 27151
DENTICAL
CA
Enumeration date
09/13/2007
Last updated
09/13/2007
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