Provider Demographics
NPI:1609187376
Name:GARBRAH, GENEVIEVE (DDS)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:GARBRAH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3545 RIDGE ROAD
Mailing Address - Street 2:UNIT 2
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102
Mailing Address - Country:US
Mailing Address - Phone:216-961-9501
Mailing Address - Fax:216-861-7959
Practice Address - Street 1:3545 RIDGE ROAD
Practice Address - Street 2:UNIT 2
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102
Practice Address - Country:US
Practice Address - Phone:216-961-9501
Practice Address - Fax:216-861-7959
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-023270122300000X
OH30.023270122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist