The holder whose full name is Boldin, Dean John,come from Valparaiso IN,hold the CSR-Dentist license(NO.12008773B) which status is Active.
| Name | Boldin, Dean John |
|---|---|
| License Number | 12008773B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Valparaiso |
| State | IN |