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Organization
GRANDIN FAMILY DENTISTRY
Active
Organization
GRANDIN FAMILY DENTISTRY
Active
Other names
Grandin Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BLAINE GALLAHER DDS (OWNER)
(540) 344-9361
Entity
Organization
Contact information
Practice address
1602 GRANDIN RD SW, ROANOKE, VA 24015-2308
(540) 344-9361
(540) 344-9377
Mailing address
1602 GRANDIN RD SW, ROANOKE, VA 24015-2308
(540) 344-9361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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