Indiana
Professional Licensing Agency
Broadway Gentle Dentistry, P.C.
Dentistry Board - Dental Corporation
License number
54001486A
Date granted
11/02/2005
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
4117 Toni Drive, Kokomo IN 46902
indianalicensing.org
ID 24746017
LAST UPDATED 2024-04-18 10:56:37 UTC
LAST UPDATED 2024-04-18 10:56:37 UTC
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