Individual
DR. CLAUDIO ENRIQUE IWAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
14055 VERONA LN, APT#15210, CENTREVILLE, VA 20120-6350
(410) 599-0254
Mailing address
19490 SANDRIDGE WAY, SUITE 270, LEESBURG, VA 20176-3465
(703) 858-3838
(703) 858-5338
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401410768
VA
1223P0300X
Periodontics
12701
MD
Other
Enumeration date
04/20/2007
Last updated
03/27/2016
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