Individual
DR. GRANT THROCKMORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 LORETTO DR, WYTHEVILLE, VA 24382-2076
(276) 228-2222
Mailing address
210 LORETTO DR, WYTHEVILLE, VA 24382-2076
(276) 228-2222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415663
VA
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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