Organization
CRUTCHFIELD PEDIATRIC DENTAL GROUP
Active
Other names
Roseville Kids Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDE CRUTCHFIELD DMD (OWNER)
(916) 773-5230
Entity
Organization
Contact information
Practice address
6560 LONETREE BLVD STE 102, ROCKLIN, CA 95765-5891
(916) 773-5230
(916) 474-5249
Mailing address
5420 PARK DR, ROCKLIN, CA 95765-5562
(916) 435-5230
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
58211
CA
Other
Enumeration date
06/27/2017
Last updated
10/24/2024
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