Dental Board of California
Licensing details for: 80135
Name: CRUTCHFIELD PEDIATRIC DENTAL GROUP, INC.
License Type: Additional Office Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: CRUTCHFIELD, JUDE
License/Registration Type: Dentist License
License Number: 58211 Primary Status: Current - Active
Address :
5420 Park Drive
ROCKLIN CA 95765
PLACER COUNTY
