Individual
DR. GINA RANDAZZO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5479 E ABBEYFIELD ST STE 1, LONG BEACH, CA 90815-3050
(408) 482-3618
Mailing address
1821 PULLMAN LN UNIT A, REDONDO BEACH, CA 90278-4123
(408) 482-3618
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
63555
CA
Other
Enumeration date
08/19/2014
Last updated
09/20/2022
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