Candice R. Johnson Dds Brian K. Shimizu Dds | |
5512 E Britton Dr Suite 208 Long Beach CA 90815-3146 | |
(562) 594-7100 | |
(562) 594-8800 |
Full Name | Candice R. Johnson Dds Brian K. Shimizu Dds |
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Speciality | Dentist |
Location | 5512 E Britton Dr, Long Beach, California |
Authorized Official Name and Position | Candice R. Johnson (GENERAL PARTNER) |
Authorized Official Contact | 5625947100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Candice R. Johnson Dds Brian K. Shimizu Dds 5512 E Britton Dr Suite 208 Long Beach CA 90815-3146 Ph: (562) 594-7100 | Candice R. Johnson Dds Brian K. Shimizu Dds 5512 E Britton Dr Suite 208 Long Beach CA 90815-3146 Ph: (562) 594-7100 |
NPI Number | 1043651383 |
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Provider Enumeration Date | 07/15/2013 |
Last Update Date | 07/15/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043651383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 49046 (California) | Primary |
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