The holder whose full name is Farthing, Annette Tepner,come from Indianapolis IN,hold the CSR-Dentist license(NO.12007985B) which status is Active.
| Name | Farthing, Annette Tepner |
|---|---|
| License Number | 12007985B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Indianapolis |
| State | IN |