DR. MANUEL IRAVEDRA, D.M.D., B.S.PH
Dentist - Periodontics
Active
Individual
NPI: 1801941422
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pharmacist | 183500000X | No | 2750 (PR) |
| Dentist - Periodontics | 1223P0300X | Yes | D1388 (PR) |
Frequently Asked Questions
NPI 1801941422 is the National Provider Identifier for DR. MANUEL IRAVEDRA, D.M.D., B.S.PH, a Dentist - Periodontics provider located in Chinle, AZ. This NPI was enumerated on January 24, 2007.
DR. MANUEL IRAVEDRA, D.M.D., B.S.PH practices at PO BOX PH, Chinle, AZ 86503.
Quick Facts
- NPI
- 1801941422
- Type
- Individual
- Enumerated
- Jan 24, 2007
- Last Updated
- Dec 9, 2019
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