Dental Board of California
Licensing details for: 6114
Name: DARRYL KEITH JOHNSON, DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
1011 ST ANDREWS DRIVE
SUITE B
EL DORADO HILLS CA 95762
EL DORADO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: JOHNSON, DARRYL KEITH
License/Registration Type: Dentist License
License Number: 37980 Primary Status: Current - Active
Address :
104 Cannington Ln
FOLSOM CA 95630-6536
SACRAMENTO COUNTY
