Individual
SCOTT DAVID CRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
716 W MAIN ST, CENTRALIA, WA 98531-2847
(360) 736-0795
Mailing address
12622 TATOOSH RD E, PUYALLUP, WA 98374-2992
(253) 970-7677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60233821
WA
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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