Provider Demographics
NPI:1386850584
Name:IADAROLA, PAUL E (DDS)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:E
Last Name:IADAROLA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6931 ARLINGTON ROAD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-654-8787
Mailing Address - Fax:301-654-7123
Practice Address - Street 1:6931 ARLINGTON ROAD
Practice Address - Street 2:SUITE 310
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-654-8787
Practice Address - Fax:301-654-7123
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD9405122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist