The holder whose full name is Mensah-Boateng, Daniel,come from Fort Wayne IN,hold the CSR-Dentist license(NO.12011454C) which status is Active.
| Name | Mensah-Boateng, Daniel |
|---|---|
| License Number | 12011454C |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |