Banyas Miranda Dentistry Gps Pllc
NPI #1083352165 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1083352165
- Entity Type
- Organization
- Organization Name
- Banyas Miranda Dentistry Gps Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 26, 2022
- Last Updated
- May 26, 2022
Practice Location
- Address
- 216 W WATAUGA AVE
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-5624
- Phone
- (423) 928-0265
Authorized Official
- Name
- WILLIAM LITTLE, DDS
- Title
- CO-OWNER
- Phone
- (870) 243-4406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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