Individual
DR. BRUCE DANIEL GRBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9203 MENTOR AVE, MENTOR, OH 44060-6477
(440) 255-3165
(440) 255-6757
Mailing address
9203 MENTOR AVE, MENTOR, OH 44060-6477
(440) 255-3165
(440) 255-6757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-017789
OH
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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