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Dr. Manuel Luis Iravedra, DMD,BSPH
Periodontist in Chinle, Arizona
NPI 1801941422

Manuel Luis Iravedra is a Periodontist based in San Juan, AZ and is specialized in Periodontics. Manuel Luis Iravedra practices in Chinle, AZ and has the professional credentials of DMD,BSPH. The NPI Number for Manuel Luis Iravedra is 1801941422 and holds a License No. 2750 (Arizona).

The current practice location address for Manuel Luis Iravedra is Po Box Ph, Chinle, AZ and can be reached out via phone at 928-674-7001.

Location: Po Box Ph, Chinle, AZ, 00921-4814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801941422
Provider Name
Manuel Luis Iravedra
Credential
DMD,BSPH
Provider Entity Type
Individual
Gender
Male
Address
Po Box Ph, Chinle, AZ, 00921-4814
Phone Number
928-674-7001
Fax Number
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Po Box Ph
City
Chinle
State
Arizona
Zip
86503-8000
Phone Number
928-674-7001
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box Ph
City
Chinle
State
Arizona
Zip
86503-8000
Phone Number
928-674-7001
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
D1388 ()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
2750 ()
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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