| NPI | 1801941422 |
|---|---|
| Other Name | MANUEL LUIS IRAVEDRA GONZALEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PR D1388) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 2750) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-12-09 |