Individual provider · Type 1 NPI
Gina Randazzo Johnson, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Long Beach, CA
Practice location
5479 E Abbeyfield St Ste 1
Long Beach, CA 90815-3050
Mailing address
1821 Pullman Ln Unit A
Redondo Beach, CA 90278-4123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 63555 (CA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1952700643
Gina Randazzo Johnson, DDS's National Provider Identifier is 1952700643, issued on Aug 19, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Long Beach, CA. The record was last updated on Sep 20, 2022.