| Street | 400 S Main St |
| City/Town | Broken Arrow |
| State/Province/Region | Oklahoma |
| Zip/Postal Code | 74012 |
| Phone Number | (918) 258-2616 |
| Country | United States |
| Latitude | 36.049495 |
| Longitude | -95.790932 |
| Full Name | Prof. Christian Cruickshank DDS |
| Gender | male |
| Birthday | 1970-04-14 |
| Social Security Number | 429-99-8948 |
| Credit card brand | Mastercard |
| Credit card number | 5234729977582502 |
| Expire | 2028/8 |
| CVV | 342 |