Johnson C Miin, DDS, MSE Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Brockton, MA

NPI

1942463898

Type

Individual (Type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

DN1856466 (MA)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-07-09

Last updated

2014-10-15