The holder whose full name is Goldblatt, Lawrence Ira,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12007207B) which status is Active.
| Name | Goldblatt, Lawrence Ira |
|---|---|
| License Number | 12007207B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | INDIANAPOLIS |
| State | IN |