Tjiska Elaine Conrotto
InactiveCalifornia license 104730
License
- Licensed by
- Dental Board of California
- License number
- 104730
- Status
- Inactive (CurrentInactive)
- First issued
- January 2, 2020
- Expires
- September 30, 2027
- License holder
- Tjiska Elaine Conrotto
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2908 N Evergreen St
Phoenix, AZ 85014-5508
Phoenix, AZ 85014-5508
Maricopa County