Keith Edward Johnson
ActiveCalifornia license 42162
License
- Licensed by
- Dental Board of California
- License number
- 42162
- Status
- Active (Current)
- First issued
- August 1, 1994
- Expires
- November 30, 2026
- License holder
- Keith Edward Johnson
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
13270 Big Basin Way
Boulder Creek, CA 95006-9239
Boulder Creek, CA 95006-9239
Santa Cruz County