The holder whose full name is Smith, Garry L.,come from ANDERSON IN,hold the CSR-Dentist license(NO.12007179B) which status is Active.
| Name | Smith, Garry L. |
|---|---|
| License Number | 12007179B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | ANDERSON |
| State | IN |