Provider Demographics
NPI:1679190029
Name:OCRAINICIUC, CRISTINA (DDS)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:OCRAINICIUC
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 1:3690 ORANGE PL STE 560
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4466
Mailing Address - Country:US
Mailing Address - Phone:216-831-5661
Mailing Address - Fax:
Practice Address - Street 1:3690 ORANGE PL STE 560
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4466
Practice Address - Country:US
Practice Address - Phone:216-831-5661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2022-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0261431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice