The holder whose full name is Salazar, Martin Raul,come from Indianapolis IN,hold the CSR-Dentist license(NO.12010930B) which status is Active.
| Name | Salazar, Martin Raul |
|---|---|
| License Number | 12010930B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Indianapolis |
| State | IN |