Dental Board of California
Licensing details for: 106233
Name: CONLON, COLLEEN ANITA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Credential
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: CONLON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81451 Primary Status: Current - Active
Address :
3640 CROCKER DRIVE., SUITE 130
SACRAMENTO CA 95818
SACRAMENTO COUNTY
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: COLLEEN CONLON, DDS
License/Registration Type: Additional Office Permit
License Number: 82221 Primary Status: Current - Active
Address :
5315 Sunrise Blvd
FAIR OAKS CA 95628
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: COLLEEN CONLON, DDS
License/Registration Type: Additional Office Permit
License Number: 82290 Primary Status: Current - Active
Address :
775 Ikea Court Suite 130
WEST SACRAMENTO CA 95605
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: LAND PARK MODERN DENTISTRY DENTAL GROUP, CONLON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17685 Primary Status: Current - Active
Address :
3640 CROCKER DRIVE., SUITE 130
SACRAMENTO CA 95818
SACRAMENTO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: Madison Modern Dentistry, Dental Group of Madison Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20160 Primary Status: Current - Active
Address :
5315 Sunrise Blvd
FAIR OAKS CA 95628
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: Dentists of West Sacramento, Dental Group of Dentists of West Sacramento, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20189 Primary Status: Current - Active
Address :
775 Ikea Court, Suite 130
WEST SACRAMENTO CA 95605
