Individual
DR. BENJAMIN CRUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.L.L.C.
Contact information
Practice address
5284 PIONEER ST STE 120, RIDGEFIELD, WA 98642-3371
(360) 887-1177
(360) 887-1178
Mailing address
5284 PIONEER ST STE 120, RIDGEFIELD, WA 98642-3371
(360) 887-1177
(360) 887-1178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE7985
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE7985
STATE LICENSE NUMBER
WA
Enumeration date
04/11/2007
Last updated
01/14/2026
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