License holder summary

Broad Smile Dental Center is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Broad Smile Dental Center is 423 N Broad Street, Griffith IN 46319-2223. This licensed professional license is current. The license was granted 01/30/2004 and expired on 05/22/2015.

Indiana

Professional Licensing Agency

Broad Smile Dental Center
Radiology - Radiation Facility Dental
License number
XF901939
Date granted
01/30/2004
Date expires
05/22/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
423 N Broad Street, Griffith IN 46319-2223
indianalicensing.org
ID 24932813
LAST UPDATED 2024-03-23 16:30:43 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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