KEITH R. GRONBACH, D.D.S., INC.
Dentist at Mt Diablo Blvd, Lafayette, CA

License number
California 44317
Category
Dentist
Type
Oral and Maxillofacial Surgery
Owner
Name: DR. KEITH R. GRONBACH D.D.S.
Title: PRESIDENT
Phone: (925) 283-4050
Address
Address
3799 Mt Diablo Blvd, Lafayette, CA 94549
National Provider ID: 1093808594
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEITH R. GRONBACH, D.D.S., INC

Lafayette, CA  -  Pinole, CA

Industry:
Dentist's Office
Registration:
May 26, 1970
Addresses:
3799 Mt Diablo Blvd STE 200, Lafayette, CA 94549 (Physical)
2150 Appian Way, Pinole, CA 94564
State ID:
C0599244
Business type:
Articles of Incorporation
Presidents:
Keith R. Gronbach (President),Brady Kenneth Lyons President, inactive
Agent:
Keith R Gronbach,Lafayette, CA 94549 (Physical)

Dentist licenses in California