The holder whose full name is Boehnlein, Polly Blake Buckey,come from Marietta GA,hold the Dentist license(NO.12011179A) which status is Active.
| Name | Boehnlein, Polly Blake Buckey |
|---|---|
| License Number | 12011179A |
| License Type | Dentist |
| License Status | Active |
| City | Marietta |
| State | GA |