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1083352165
BANYAS MIRANDA DENTISTRY GPS PLLC
JOHNSON CITY, TN
NPI
1083352165
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Entity Type
Organization
Authorized Contact
WILLIAM LITTLE
Co Owner
870-243-4406
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-05-26
Last Update Date
2022-05-26
Business Address
BANYAS MIRANDA DENTISTRY GPS PLLC
216 W WATAUGA AVE
JOHNSON CITY, TN 37604-5624
Phone number: 423-928-0265
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Mailing Address
BANYAS MIRANDA DENTISTRY GPS PLLC
100 E HUNTINGTON AVE STE E
JONESBORO, AR 72401-2900
Phone number:
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