| NPI | 1487732913 |
|---|---|
| Former Legal Business Name | KEITH GJEBRE DMD |
| Entity Type | Organization |
| Authorized Contact | KEITH GJEBRE Owner 724-832-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: PA DS023867L) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |