Individual
DR. STEPHANIE GUY GRUCHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1231 27TH ST S, FARGO, ND 58103-8722
(701) 235-1261
(701) 235-1268
Mailing address
1231 27TH ST S STE A, FARGO, ND 58103-8722
(701) 235-1261
(701) 235-1268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1957
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41376
—
ND
Enumeration date
08/07/2006
Last updated
03/03/2025
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