License holder summary

Aspen Dental- Fort Wayne is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Aspen Dental- Fort Wayne is 4716 Illinois St. Suite 101, Fort Wayne IN 46804-1164. This licensed professional license is current. The license was granted 11/14/2008 and expired on 10/13/2014.

Indiana

Professional Licensing Agency

Aspen Dental- Fort Wayne
Radiology - Radiation Facility Dental
License number
XF903263
Date granted
11/14/2008
Date expires
10/13/2014
Class
Radiology - Radiation Facility Dental
Status
Active
Address
4716 Illinois St. Suite 101, Fort Wayne IN 46804-1164
indianalicensing.org
ID 24932156
LAST UPDATED 2026-03-19 06:06:42 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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