Indiana
Professional Licensing Agency
Bruick Dentistry, PC
Radiology - Radiation Facility Dental
License number
XF902409
Date granted
10/17/2003
Date expires
04/23/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
6405 Georgetown North Blvd, Fort Wayne IN 46815-7007
indianalicensing.org
ID 24932163
LAST UPDATED 2024-02-29 14:55:35 UTC
LAST UPDATED 2024-02-29 14:55:35 UTC
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