Mark Grucella, DDS
NPI 1184711871 · on the registry since 2006
Practice
- Address
- 620 Ridgewood Xing
Suite K
Fairlawn, OH 44333 - Phone
- (330) 733-7911
- Fax
- (330) 376-5214
- Organisation at this address
- Family Dental Team, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio