Organization
MARK C. DAVIS, DDS, PC
Active
Other names
Crane Mountain Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY DUPIN (MANAGER)
(480) 674-4151
Entity
Organization
Contact information
Practice address
1339 S 9TH ST, LAKEVIEW, OR 97630-1919
(541) 947-4066
Mailing address
1339 S 9TH ST, LAKEVIEW, OR 97630-1919
(541) 947-4066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
08/13/2024
Last updated
10/22/2025
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