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

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X44317 (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.

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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.