DR. Mimi V. Johnson, D.D.S.

NPI #1265656912 in Bellwood, Illinois

Provider Information

NPI Number: 1265656912
Entity Type: Individual
Name: DR. Mimi V. Johnson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Apr 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 235 MANNHEIM RD
City: Bellwood
State: Illinois
ZIP Code: 60104-1339
Phone: (708) 544-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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