| Crane Mountain LLC | |
|
544 N Main St Ste 2 Yreka CA 96097-2553 | |
| (530) 842-3900 | |
| Not Available |
| Full Name | Crane Mountain LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 544 N Main St Ste 2, Yreka, California |
| Authorized Official Name and Position | Mark Chandler Davis (PRESIDENT) |
| Authorized Official Contact | 5413312297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crane Mountain LLC 544 N Main St Ste 2 Yreka CA 96097-2553 Ph: (530) 842-3900 | Crane Mountain LLC 544 N Main St Ste 2 Yreka CA 96097-2553 Ph: (530) 842-3900 |
| NPI Number | 1528939329 |
|---|---|
| Provider Enumeration Date | 09/15/2025 |
| Last Update Date | 09/15/2025 |
| Certification Date | 09/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528939329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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