Department of State
Board of Medicine
TYLER RUSSELL JOHANSEN
Dentist
License number
DS039183
Date granted
06/28/2012
Date expires
03/31/2017
Class
Dentist
Status
Active
Address
Redding CA 96001
medicinepa.com
ID 37431257
LAST UPDATED 2026-05-11 17:54:52 UTC
LAST UPDATED 2026-05-11 17:54:52 UTC
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