Individual
RUSSELL JARED CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
35004 N NORTH VALLEY PKWY STE 110, PHOENIX, AZ 85086-3255
(623) 879-9503
(623) 587-6453
Mailing address
6233 W BEHREND DR APT 2064, GLENDALE, AZ 85308-6929
(208) 358-0299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010401
AZ
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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