Individual
DANIEL JOSPEH IREDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8472 SIMMOND ST, FORT MEADE, MD 20755-5700
(301) 677-6078
Mailing address
24 LYNNE CIR, PAOLI, PA 19301-1027
(610) 864-0838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14225965-9926
UT
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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