Organization
CRANE MOUNTAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CHANDLER DAVIS DDS (PRESIDENT)
(541) 331-2297
Entity
Organization
Contact information
Practice address
544 N MAIN ST STE 2, YREKA, CA 96097-2553
(530) 842-3900
Mailing address
544 N MAIN ST STE 2, YREKA, CA 96097-2553
(530) 842-3900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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