Manuel Luis Iravedra in Chinle - Periodontics
Manuel Luis Iravedra - NPI 1801941422
Manuel Luis Iravedra is a Periodontics in Chinle, Arizona. Manuel Luis Iravedra practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Manuel Luis Iravedra is 1801941422. The last update date is 2019-12-09.
Manuel Luis Iravedra's current location address is Po Box Ph, Chinle, Arizona. You can contact this provider via phone number 9286747001. The mailing address for Manuel Luis Iravedra is Po Box Ph, Chinle, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Manuel Luis Iravedra |
|---|---|
| Address | Po Box Ph, Chinle, Arizona |
| Phone Number | 9286747001 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D., B. |
NPI Number Detail
| NPI Number | 1801941422 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2019-12-09 |
Provider Mailing Address Detail
| Address | Po Box Ph |
|---|---|
| City | Chinle |
| State | Arizona (AZ) |
| Post Code | 865038000 |
| Phone Number | 9286747001 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | D1388 |
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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 structure |
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What is the unique identifier code issued to Manuel Luis Iravedra by the Centers for Medicare & Medicaid Services?
The Manuel Luis Iravedra has been assigned the NPI (National Provider Identifier) 1801941422. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Manuel Luis Iravedra is physically located?
The Manuel Luis Iravedra is physically situated at the following address: Po Box Ph, Chinle, AZ, 865038000.
What is the area of specialization for Manuel Luis Iravedra, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Manuel Luis Iravedra is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801941422 to Manuel Luis Iravedra?
The Manuel Luis Iravedra received its 1801941422 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.
As of what date were the details pertaining to Manuel Luis Iravedra last refreshed?
The information related to the Manuel Luis Iravedra, including its address, specialty, and other relevant details, was last updated on 2019-12-09.
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