Dental Board of California
Licensing details for: 82221
Name: COLLEEN CONLON, DDS
License Type: Additional Office Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: Madison Modern Dentistry, Inc.
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: CONLON, COLLEEN ANITA
License/Registration Type: Dentist License
License Number: 106233 Primary Status: Current - Active
Address :
5315 Sunrise Blvd
FAIR OAKS CA 95628-3539
