The holder whose full name is Diehl, David M.,come from Fort Wayne IN,hold the CSR-Dentist license(NO.12010145B) which status is Active.
| Name | Diehl, David M. |
|---|---|
| License Number | 12010145B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |