| NPI | 1073101820 |
|---|---|
| Doing Business As | GRANDIN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | THOMAS BLAINE GALLAHER Owner 540-344-9361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |