Individual
KEITH DOBRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
471 E WESTFIELD AVE, ROSELLE PARK, NJ 07204-2431
(908) 298-1300
Mailing address
1 THRESHER CT, TINTON FALLS, NJ 07753-7428
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02506502
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2012
Last updated
11/15/2018
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