Individual
DR. MARK ALLEN CRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
1001 POTRERO AVE. BLDG. 5, FL. 1, #1N, SAN FRANCISCO, CA 94110-3518
(628) 206-8104
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
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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