Organization
BANYAS MIRANDA DENTISTRY GPS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LITTLE DDS (CO-OWNER)
(870) 243-4406
Entity
Organization
Contact information
Practice address
216 W WATAUGA AVE, JOHNSON CITY, TN 37604-5624
(423) 928-0265
Mailing address
100 E HUNTINGTON AVE STE E, JONESBORO, AR 72401-2900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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