The holder whose full name is Guido, Vincent M.,come from LAFAYETTE IN,hold the CSR-Dentist license(NO.12008212B) which status is Active.
| Name | Guido, Vincent M. |
|---|---|
| License Number | 12008212B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | LAFAYETTE |
| State | IN |