Provider Demographics
NPI:1043819998
Name:ALDABE DMD INC
Entity type:Organization
Organization Name:ALDABE DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDABE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:858-277-4764
Mailing Address - Street 1:5189 CLAIREMONT MESA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-1446
Mailing Address - Country:US
Mailing Address - Phone:858-277-4764
Mailing Address - Fax:
Practice Address - Street 1:5189 CLAIREMONT MESA BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-1446
Practice Address - Country:US
Practice Address - Phone:858-277-4764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental