| Organization Name: | DR. EARL R. CRANE CHILDREN'S DENTAL HEALTH CENTER |
| NPI Number: | 1265853782 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY MASASSO (DENTAL CENTER CHAIR) |
| Mailing Address: | 580 W 6th St San Bernardino |
| State: | CA US |
| Postal Code: | 924103002 |
| Phone Number: | 9098852045 |
| Fax Number: | 9098855900 |
| NPI Enumeration Date: | 12/31/2013 |
| NPI Last Update Date: | 12/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |