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Individual
DR. MARK ALLEN CRANE
Active
Individual
DR. MARK ALLEN CRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D4371
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OMS27
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
26402
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A064888
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545345
—
AZ
Enumeration date
01/09/2007
Last updated
07/31/2024
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