Individual
DR. BARRY JOHNSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1706 S ELENA AVE, REDONDO BEACH, CA 90277-5715
(310) 375-0514
(310) 375-8625
Mailing address
1706 S ELENA AVE STE A, REDONDO BEACH, CA 90277-5715
(310) 375-0514
(310) 375-8625
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D25725
CA
Other
Enumeration date
07/20/2006
Last updated
07/09/2007
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