# ALFRED AIDIE DMD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336526060
- **Authorized official:** DR. ALFRED AIDIE (DMD)
- **Authorized official phone:** (818) 243-1000

## Contact information

- **Practice address:** 1219 N PACIFIC AVE, GLENDALE, CA 91202-1619
- **Practice address phone:** (818) 242-1000
- **Mailing address:** 1219 N PACIFIC AVE, GLENDALE, CA 91202-1619
- **Mailing address phone:** (818) 242-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 44811 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2015
- **Last updated:** 05/01/2015