The holder whose full name is Holder, Troy Nicholas,come from Fort Wayne IN,hold the Dental Intern Permit license(NO.42000175A) which status is Superceded.
| Name | Holder, Troy Nicholas |
|---|---|
| License Number | 42000175A |
| License Type | Dental Intern Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |