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institution
St. Jude Hospital, Inc.
Dental Clinic/Center in Buena Park, California
NPI 1063534501

St. Jude Hospital, Inc. is a Dental Clinic/Center based in Buena Park, CA and is specialized in Dental. St. Jude Hospital, Inc. practices in Buena Park, CA. The NPI Number for St. Jude Hospital, Inc. is 1063534501 and holds a License No. (California).

The current practice location address for St. Jude Hospital, Inc. is 7758 Knott Ave, Buena Park, CA and can be reached out via phone at 714-522-8723.

Location: 7758 Knott Ave, Buena Park, CA, 90620-2420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063534501
Provider Name
St. Jude Hospital, Inc.
Credential
Provider Entity Type
Organization
Address
7758 Knott Ave, Buena Park, CA, 90620-2420
Phone Number
714-522-8723
Fax Number
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70894F 05 AR
institution
Provider Business Practice Location Address Details
Address
7758 Knott Ave
City
Buena Park
State
California
Zip
90620-2420
Phone Number
714-522-8723
Fax Number
person
Provider Business Mailing Address Details
Address
7758 Knott Ave
City
Buena Park
State
California
Zip
90620-2420
Phone Number
714-522-8723
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
(California)
Definition
Definition to come...
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