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
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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