Individual
DR. DENIS T IWAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9186 MIRA MESA BLVD, SAN DIEGO, CA 92126-4804
(858) 566-6262
(858) 566-6318
Mailing address
9186 MIRA MESA BLVD, SAN DIEGO, CA 92126-4804
(858) 566-6262
(858) 566-6318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7497T
CA
Other
Enumeration date
02/15/2007
Last updated
10/20/2011
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