Individual provider · Type 1 NPI
Manuel Luis Iravedra, DMD, B.S.PH
Periodontics · Chinle, AZ
NPI number
1801941422
Active
Practice location
PO Box Ph
Chinle, AZ 86503-8000
Mailing address
1814 Calle Glasgow, College Park
San Juan, PR 00921-4814
Other practice locations
- 1814 Calle Glasgow, San Juan, PR 00921-4814 · (787) 758-8510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 2750 (PR) |
| Periodontics Primary | 1223P0300X | D1388 (PR) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
24 other providers at this address
- Adeola Oke, PharmDPharmacotherapy Pharmacist Chinle, AZ NPI 1053657882
- Alexandria Merritt, PharmDPharmacist Chinle, AZ NPI 1194272039
- Andrew Coogan, PHARM, D.Pharmacist Chinle, AZ NPI 1962836817
- Annmarie Panarello, PSY.D.Clinical Psychologist Chinle, AZ NPI 1639408867
- Betty Joanne Hauser, SLPSpeech-Language Pathologist Chinle, AZ NPI 1508476508
- Carol Marie Jaworski, RDHDental Hygienist Chinle, AZ NPI 1063470870
- Carolyn Diane Click, ODOptometrist Chinle, AZ NPI 1447506266
- Dimyana A. Abdelmalek, MDEmergency Medicine Physician Chinle, AZ NPI 1194012146
- Elaine Carrasco Cornelio, MDPediatrics Physician Chinle, AZ NPI 1518250711
- Ethan Reuvan Bornstein, MDInternal Medicine Physician Chinle, AZ NPI 1558789933
- Gavin Maurice O'Brien, PharmDPharmacist Chinle, AZ NPI 1629590724
- Ja'nelle Maxine Blocker, MDPsychiatry Physician Chinle, AZ NPI 1598225104
About NPI 1801941422
Manuel Luis Iravedra, DMD, B.S.PH's National Provider Identifier is 1801941422, issued on Jan 24, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chinle, AZ. The record was last updated on Dec 9, 2019.