DR. Manuel Luis Iravedra, D.M.D., B.S.PH

NPI #1801941422 in Chinle, Arizona

Provider Information

NPI Number
1801941422
Entity Type
Individual
Name
DR. Manuel Luis Iravedra, D.M.D., B.S.PH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Periodontics
Credential
D.M.D., B.S.PH
Enumeration Date
Jan 24, 2007
Last Updated
Dec 9, 2019

Practice Location

Address
PO BOX PH
City
Chinle
State
Arizona
ZIP Code
86503-8000
Phone
(928) 674-7001

Specialties & Taxonomy Codes

Specialty
Pharmacist
Dentist - PeriodonticsPeriodontics

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