The holder whose full name is Giesting, Dale Alvin,come from Brookville IN,hold the CSR-Dentist license(NO.12007150B) which status is Active.
| Name | Giesting, Dale Alvin |
|---|---|
| License Number | 12007150B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Brookville |
| State | IN |