License holder summary

Family Practice Dentistry is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Family Practice Dentistry is 2705 South Berkley Road, Suite 3-B, Kokomo IN 46902-8017. This licensed professional license is current. The license was granted 04/12/2004 and expired on 04/25/2016.

Indiana

Professional Licensing Agency

Family Practice Dentistry
Radiology - Radiation Facility Dental
License number
XF903038
Date granted
04/12/2004
Date expires
04/25/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
2705 South Berkley Road, Suite 3-B, Kokomo IN 46902-8017
indianalicensing.org
ID 24934031
LAST UPDATED 2024-04-14 02:39:58 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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