Individual
JOSH CRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
386 LONGWOOD DR, EAGLE, ID 83616-5188
(480) 293-4196
Mailing address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(480) 293-4196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4665
ID
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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