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Candice Rae Johnson, DDS
General Practice Dentistry in Long Beach, California
NPI 1295941003

Candice Rae Johnson is a General Practice Dentistry based in Long Beach, CA and is specialized in General Practice. Candice Rae Johnson practices in Long Beach, CA and has the professional credentials of DDS. The NPI Number for Candice Rae Johnson is 1295941003 and holds a License No. 49046 (California).

The current practice location address for Candice Rae Johnson is 5512 E Britton Dr, Long Beach, CA and can be reached out via phone at 562-594-7100 and via fax at 562-594-8800.

Location: 5512 E Britton Dr, Long Beach, CA, 90815-3146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295941003
Provider Name
Candice Rae Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
5512 E Britton Dr, Long Beach, CA, 90815-3146
Phone Number
562-594-7100
Fax Number
562-594-8800
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
841649733 01 CA TAX IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
5512 E Britton Dr
City
Long Beach
State
California
Zip
90815-3146
Phone Number
562-594-7100
Fax Number
562-594-8800
person
Provider Business Mailing Address Details
Address
5512 E Britton Dr
City
Long Beach
State
California
Zip
90815-3146
Phone Number
562-594-7100
Fax Number
562-594-8800
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
49046 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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