Organization
KEITH R. GRONBACH, D.D.S., INC.
Active
Other names
East Bay Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH R. GRONBACH D.D.S. (PRESIDENT)
(925) 283-4050
Entity
Organization
Contact information
Practice address
3799 MT DIABLO BLVD, LAFAYETTE, CA 94549-3538
(925) 283-4050
(925) 283-5340
Mailing address
3799 MT DIABLO BLVD, LAFAYETTE, CA 94549-3538
(925) 283-4050
(925) 283-5340
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
44317
CA
Other
Enumeration date
10/02/2006
Last updated
07/22/2020
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