Manuel L. Iravedra, D.M.D., B.S.PH
Periodontics · Chinle, AZ
UnclaimedD.M.D., B.S.PHNPI 1801941422
- Primary taxonomy
- 1223P0300X
- Enumerated
- 2007-01-24
- Practice location
- Chinle, AZ
- Last NPPES update
- 2019-12-09
State licenses
- PR · Dentist · NPPES self-reportedListed on NPI record
- PR · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.