The holder whose full name is Kishimoto, Takaaki,come from Indianapolis IN,hold the Limited Dental Residency license(NO.LDR140100) which status is Active.
| Name | Kishimoto, Takaaki |
|---|---|
| License Number | LDR140100 |
| License Type | Limited Dental Residency |
| License Status | Active |
| City | Indianapolis |
| State | IN |