Organization
KEITH GJEBRE DMD LLC
Active
Other names
Keith Gjebre DMD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH GJEBRE DMC LLC (OWNER)
(724) 832-2255
Entity
Organization
Contact information
Practice address
510 PELLIS ROAD, SUITE 102, GREENSBURG, PA 15601
(724) 832-2255
(724) 832-9456
Mailing address
510 PELLIS ROAD, SUITE 102, GREENSBURG, PA 15601
(724) 832-2255
(724) 832-9456
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS023867L
PA
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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