Crutchfield Dental, INC.
Dentist, Pediatric Dentistry in Yuba City, CA. Organization (NPI-2).
NPI number1043852452
StatusActive
Last updated in NPPESOct 17, 2019
Details
- NPI
- 1043852452
- Entity type
- Organization (NPI-2)
- Legal business name
- Crutchfield Dental, INC.
- Organization subpart
- No
- Enumeration date
- Oct 17, 2019
- Last updated
- Oct 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
950 Tharp Rd Ste 602Yuba City, CA 95993-8347
Phone 530-777-3717
Mailing address
5420 Park DrRocklin, CA 95765-5562
Phone 916-435-5230
Authorized official
Debbie Wilson
Office Manager
9164355230
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