Indiana
Professional Licensing Agency
Columbus Oral &
Dentistry Board - Dental Corporation
License number
54000102A
Date granted
06/28/1973
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
Maxillofacial Surgery, P.S.C., 2350 North Park, Columbus IN 47203
indianalicensing.org
ID 24743415
LAST UPDATED 2024-04-05 10:34:58 UTC
LAST UPDATED 2024-04-05 10:34:58 UTC
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