Provider Demographics
NPI:1437394921
Name:MAGGIULLI, ALDINO P (BA, DMD, GPR)
Entity Type:Individual
Prefix:DR
First Name:ALDINO
Middle Name:P
Last Name:MAGGIULLI
Suffix:
Gender:M
Credentials:BA, DMD, GPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5454 WISCONSIN AVE
Mailing Address - Street 2:SUITE 1505
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6901
Mailing Address - Country:US
Mailing Address - Phone:301-652-5881
Mailing Address - Fax:301-986-5738
Practice Address - Street 1:5454 WISCONSIN AVE
Practice Address - Street 2:SUITE 1505
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6901
Practice Address - Country:US
Practice Address - Phone:301-652-5881
Practice Address - Fax:301-986-5738
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12009122300000X
DC5515122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist