Indiana
Professional Licensing Agency
A-1 Medicaid Dental Group, Inc.
Radiology - Radiation Facility Dental
License number
XF900327
Date granted
02/17/2004
Date expires
12/16/2014
Class
Radiology - Radiation Facility Dental
Status
Active
Address
610 West 11th Street, Bicknell IN 47512-0126
indianalicensing.org
ID 24930677
LAST UPDATED 2024-03-21 20:34:08 UTC
LAST UPDATED 2024-03-21 20:34:08 UTC
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