The holder whose full name is Sitaram, Dipesh P.,come from Columbus IN,hold the CSR-Dentist license(NO.12010835C) which status is Active.
| Name | Sitaram, Dipesh P. |
|---|---|
| License Number | 12010835C |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Columbus |
| State | IN |