The holder whose full name is Balaban, Alexander M.,come from Carmel IN,hold the CSR-Dentist license(NO.12010434B) which status is Active.
| Name | Balaban, Alexander M. |
|---|---|
| License Number | 12010434B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Carmel |
| State | IN |