DR. Manuel Luis Iravedra, D.M.D., B.S.PH is a periodontics dentist in Chinle, AZ. The provider is 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. DR. Manuel Luis Iravedra, D.M.D., B.S.PH NPI is 1801941422. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
PO BOX PH
CHINLE, AZ
ZIP 86503-000
Phone: (928) 674-7001
The NPI 1801941422 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 1/24/2007 and was last updated on 12/9/2019.