Individual provider · Type 1 NPI
Keith Roger Gronbach, DDS
Oral and Maxillofacial Surgery (Dentist) · Lafayette, CA
NPI number
1992853204
Active
Practice location
3799 Mt Diablo Blvd
Lafayette, CA 94549-3538
Fax (925) 283-5340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 44317 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Lafayette
About NPI 1992853204
Keith Roger Gronbach, DDS's National Provider Identifier is 1992853204, issued on Jan 5, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lafayette, CA. The record was last updated on Jul 22, 2020.