GORDON W. CRUCIKSHANK

FOLSOM, CA
NPI1902001191
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA  24965)
Enumeration Date2007-06-18
Last Update Date2007-07-08
Business Address
Dr. GORDON W. CRUCIKSHANK D.D.S.
1568 CREEKSIDE DR SUITE 105
FOLSOM, CA 95630-3449
Phone number: 916-983-5552
Mailing Address
Dr. GORDON W. CRUCIKSHANK D.D.S.
2350 PROFESSIONAL DR SUITE 400
ROSEVILLE, CA 95661-7747
Phone number: