| NPI | 1063534501 |
|---|---|
| Doing Business As | ST. JUDE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BARRY ROSS Vice President, Healthy Communities 714-992-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 060000763) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-11-28 |