Organization
ALFRED AIDIE DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED AIDIE (DMD)
(818) 243-1000
Entity
Organization
Contact information
Practice address
1219 N PACIFIC AVE, GLENDALE, CA 91202-1619
(818) 242-1000
Mailing address
1219 N PACIFIC AVE, GLENDALE, CA 91202-1619
(818) 242-1000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44811
CA
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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