# WOODLANDS ORAL & MAXILLOFACIAL SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mark A. Crane DDS MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619026564
- **Authorized official:** DR. MARK ALLEN CRANE M.D.,D.D.S. (PRESIDENT)
- **Authorized official phone:** (928) 214-7052

## Contact information

- **Practice address:** 1635 S PLAZA WAY, FLAGSTAFF, AZ 86001-7102
- **Practice address phone:** (928) 214-7052
- **Practice address fax:** (928) 214-7059
- **Mailing address:** 1635 S PLAZA WAY, FLAGSTAFF, AZ 86001-7102
- **Mailing address phone:** (928) 214-7052
- **Mailing address fax:** (928) 214-7059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 26402 | AZ | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 08/22/2020