Individual
ANDREY GAIDUCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5740 WINDMILL WAY STE 16, CARMICHAEL, CA 95608-1379
(916) 331-0841
Mailing address
1350 W ROBINHOOD DR STE 20, STOCKTON, CA 95207-5519
(209) 477-6700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
103200
CA
Other
Enumeration date
02/01/2016
Last updated
01/03/2023
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