California
Department of Consumer Affairs
LISA KLOCKENTEGER, RDH-AP
Dental - Registered Provider
License number
5162
Date granted
08/30/2012
Date expires
08/31/2016
Class
Dental - Registered Provider
Status
Current
Address
PASO ROBLES
californialicensing.org
ID 19813094
LAST UPDATED 2026-06-14 05:40:52 UTC
LAST UPDATED 2026-06-14 05:40:52 UTC
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