SearchCaliforniaOral and Maxillofacial Surgery (Dentist)

Keith Gronbach, D.D.S

NPI 1992853204 · on the registry since 2007

Practice

Address
3799 Mt Diablo Blvd
Lafayette, CA 94549
Phone
(925) 283-4050
Fax
(925) 283-5340
Organisation at this address
Icboggan, Inc
Keith R. Gronbach, D.D.S., Inc.
Stat Med Pc A California Medical Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California