The holder whose full name is Barta, Brent J.,come from Indianapolis IN,hold the CSR-Dentist license(NO.12008543B) which status is Active.
| Name | Barta, Brent J. |
|---|---|
| License Number | 12008543B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Indianapolis |
| State | IN |