Individual
ROBIN JOY GLOECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
150 TEJAS PL, NIPOMO, CA 93444-9123
(805) 929-3254
(805) 931-2569
Mailing address
150 TEJAS PL, PO BOX 430, NIPOMO, CA 93444-9123
(805) 929-3211
(805) 929-6359
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24336
CA
126800000X
Dental Assistant
52095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03884F
—
CA
05
—
FHC70477F
—
CA
Enumeration date
10/02/2009
Last updated
01/29/2010
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