License holder summary

Allison S. Bergdoll, D.D.S.M.S., PC is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Allison S. Bergdoll, D.D.S.M.S., PC is 2121 E Dupont Rd, Ste D, Fort Wayne IN 46825-1227. This licensed professional license is current. The license was granted 12/29/2003 and expired on 11/03/2014.

Indiana

Professional Licensing Agency

Allison S. Bergdoll, D.D.S.M.S., PC
Radiology - Radiation Facility Dental
License number
XF902161
Date granted
12/29/2003
Date expires
11/03/2014
Class
Radiology - Radiation Facility Dental
Status
Active
Address
2121 E Dupont Rd, Ste D, Fort Wayne IN 46825-1227
indianalicensing.org
ID 24932153
LAST UPDATED 2024-04-19 14:54:39 UTC

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