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Individual

DR. JUDITH STURR PABST HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24160
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
674499
UNITED CONCORDIA
CA
01
B2416001
DENTICAL
CA
Enumeration date
04/04/2007
Last updated
07/08/2007
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