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Licensing details for: 37980

Name: JOHNSON, DARRYL KEITH

License Type: Dentist

Primary Status: Current - Active

Address of Record

104 Cannington Ln
FOLSOM CA 95630-6536
SACRAMENTO county
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Issuance Date

January 19, 1990

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
7:56:36 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: DARRYL KEITH JOHNSON, DDS

License/Registration Type: Additional Office Permit

License Number: 6114 Primary Status: Cancelled

Address :
1011 ST ANDREWS DRIVE
SUITE B
EL DORADO HILLS CA 95762
EL DORADO COUNTY

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