Individual
DR. TJISKA ELAINE CONROTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1441 N 12TH ST FL 3, PHOENIX, AZ 85006-2837
(602) 521-5150
Mailing address
1441 N 12TH ST FL 3, PHOENIX, AZ 85006-2837
(602) 521-5150
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D012292
AZ
Other
Enumeration date
03/10/2020
Last updated
10/02/2025
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