Grandin Family Dentistry

NPI #1073101820 in Roanoke, Virginia

Provider Information

NPI Number: 1073101820
Entity Type: Organization
Organization Name: Grandin Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Jan 7, 2021
Last Updated: Jan 7, 2021

Practice Location

Address: 1602 GRANDIN RD SW
City: Roanoke
State: Virginia
ZIP Code: 24015-2308
Phone: (540) 344-9361

Authorized Official

Name: THOMAS BLAINE GALLAHER, DDS
Title: OWNER
Phone: (540) 344-9361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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