| NPI | 1619026564 |
|---|---|
| Doing Business As | MARK A. CRANE DDS MD |
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN CRANE President 928-214-7052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: AZ 26402) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |