NPI 1023408580

Iwamoto Enterprises, INC.

Organisation Dental Laboratory Valley Village, CA

Practice location

Address: 5451 Laurel Canyon Blvd Suite 202, Valley Village, CA 91607-2180
Phone: (818) 506-6861
Fax: (818) 506-3643

Authorised official

Name: Eric Takeo Iwamoto
Title: Ceo/President
Phone: (818) 506-6861

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence FAC00046448 (CA)

Other Dental Laboratory providers in California →

Registry record

NPI: 1023408580
Entity type: Organization
NPI issued: 4 Feb 2015
Record last updated: 4 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.