Organization · Type 2 NPI

Banyas Miranda Dentistry GPS PLLC

Dental Clinic/Center · Johnson City, TN

NPI number 1083352165 Active

Practice location

216 W Watauga Ave
Johnson City, TN 37604-5624

Call (423) 928-0265 Map

Mailing address

100 E Huntington Ave Ste E
Jonesboro, AR 72401-2900

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1083352165

Banyas Miranda Dentistry GPS PLLC's National Provider Identifier is 1083352165, issued on May 26, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Johnson City, TN. The record was last updated on May 26, 2022.