Iravedra, Manuel Luis

Iravedra, Manuel Luis is an sole proprietor health care provider with primary practice located at Po Box Ph , Chinle AZ 86503-8000. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Iravedra, Manuel Luis can be contacted via phone (928) 674-7001.

Contact Information

Primary practice address
Po Box Ph Chinle AZ 86503-8000
Phone: (928) 674-7001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2750 Puerto Rico
Dental Providers / Periodontics 1223P0300X D1388 Puerto Rico

Profile Details

NPI number 1801941422
LBN Legal business name Iravedra, Manuel Luis
Credentials D.M.D., B.S.PH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Dec 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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