The holder whose full name is Montes, David Michael,come from Kokomo IN,hold the CSR-Dentist license(NO.12012039C) which status is Active.
| Name | Montes, David Michael |
|---|---|
| License Number | 12012039C |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Kokomo |
| State | IN |