Organization
CRUTCHFIELD DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE WILSON (OFFICE MANAGER)
(916) 435-5230
Entity
Organization
Contact information
Practice address
950 THARP RD STE 602, YUBA CITY, CA 95993-8347
(530) 777-3717
Mailing address
5420 PARK DR, ROCKLIN, CA 95765-5562
(916) 435-5230
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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