The holder whose full name is Baumgartner, Joe Allen,come from NAPPANEE IN,hold the CSR-Dentist license(NO.12007757B) which status is Active.
| Name | Baumgartner, Joe Allen |
|---|---|
| License Number | 12007757B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | NAPPANEE |
| State | IN |