Organization
BANYAS AND MIRANDA, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J MIRANDA D.D.S. (PARTNER)
(423) 928-0265
Entity
Organization
Contact information
Practice address
216 W WATAUGA AVE, JOHNSON CITY, TN 37604-5624
(423) 928-0265
(423) 928-0265
Mailing address
216 W WATAUGA AVE, JOHNSON CITY, TN 37604-5624
(423) 928-0265
(423) 928-0265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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