The holder whose full name is Boldin, Dean John,come from Valparaiso IN,hold the Dentist license(NO.12008773A) which status is Active.
| Name | Boldin, Dean John |
|---|---|
| License Number | 12008773A |
| License Type | Dentist |
| License Status | Active |
| City | Valparaiso |
| State | IN |