License holder summary

Fortville Family Dentistry is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Fortville Family Dentistry is 727 East Broadway, Fortville IN 46040-1551. This licensed professional license is current. The license was granted 07/13/2005 and expired on 09/09/2017.

Indiana

Professional Licensing Agency

Fortville Family Dentistry
Radiology - Radiation Facility Dental
License number
XF902651
Date granted
07/13/2005
Date expires
09/09/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
727 East Broadway, Fortville IN 46040-1551
indianalicensing.org
ID 24932413
LAST UPDATED 2024-05-08 17:37:56 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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