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Organization
ST. JUDE NEIGHBORHOOD HEALTH CENTERS
Active
Organization
ST. JUDE NEIGHBORHOOD HEALTH CENTERS
Active
Other names
St. Jude Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JASON BROWN (CHIEF EXECUTIVE OFFICER)
(208) 899-9631
Entity
Organization
Contact information
Practice address
7758 KNOTT AVE, BUENA PARK, CA 90620-2420
(714) 522-8723
(714) 522-4182
Mailing address
731 S HIGHLAND AVE, FULLERTON, CA 92832-2753
(714) 522-8723
(714) 522-4182
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2012
Last updated
06/17/2020
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