Organization
CANDICE R. JOHNSON DDS BRIAN K. SHIMIZU DDS
Active
Parent organization
CANDICE R. JOHNSON DDS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANDICE R. JOHNSON DDS, INC
Authorized official
DR. CANDICE R. JOHNSON DDS (GENERAL PARTNER)
(562) 594-7100
Entity
Organization
Contact information
Practice address
5512 E BRITTON DR, SUITE 208, LONG BEACH, CA 90815-3146
(562) 594-7100
(562) 594-8800
Mailing address
5512 E BRITTON DR, SUITE 208, LONG BEACH, CA 90815-3146
(562) 594-7100
(562) 594-8800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49046
CA
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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