Individual
DR. AMY IWATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3756 SANTA ROSALIA DRIVE, SUITE 504, LOS ANGELES, CA 90008-3656
(323) 293-2600
Mailing address
3756 SANTA ROSALIA DRIVE, SUITE 504, LOS ANGELES, CA 90008-3656
(323) 293-2600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CA27151
CA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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