Organization
NCDI - ANIMAS PROFESSIONAL, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D CRANE D.D.S., M.S. (MANAGING PARTNER)
(970) 223-8687
Entity
Organization
Contact information
Practice address
2650 E PINON FRONTAGE RD, BLDG #200, FARMINGTON, NM 87402-5084
(505) 599-9359
Mailing address
1220 OAK PARK DR, FORT COLLINS, CO 80525-7348
(970) 223-8687
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8446
CO
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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