The holder whose full name is Lamp, Dennis William,come from Avilla IN,hold the CSR-Dentist license(NO.12007359B) which status is Active.
| Name | Lamp, Dennis William |
|---|---|
| License Number | 12007359B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Avilla |
| State | IN |