License holder summary

Birchwood Family Dental is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Birchwood Family Dental is 1375 South Lebanon Street, Suite 200, Lebanon IN 46052. This licensed professional license is current. The license was granted 01/18/2005 and expired on 07/12/2015.

Indiana

Professional Licensing Agency

Birchwood Family Dental
Radiology - Radiation Facility Dental
License number
XF901295
Date granted
01/18/2005
Date expires
07/12/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1375 South Lebanon Street, Suite 200, Lebanon IN 46052
indianalicensing.org
ID 24934274
LAST UPDATED 2024-03-30 12:34:08 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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