St. Jude Neighborhood Health Centers
NPI #1225397409 in Buena Park, California
Provider Information
- NPI Number
- 1225397409
- Entity Type
- Organization
- Organization Name
- St. Jude Neighborhood Health Centers
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 9, 2012
- Last Updated
- Jun 17, 2020
Practice Location
- Address
- 7758 KNOTT AVE
- City
- Buena Park
- State
- California
- ZIP Code
- 90620-2420
- Phone
- (714) 522-8723
Authorized Official
- Name
- TIMOTHY JASON BROWN
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (208) 899-9631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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