Indiana
Professional Licensing Agency
Comprehensive Dentistry
Radiology - Radiation Facility Dental
License number
XF900045
Date granted
06/19/2003
Date expires
04/23/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1135West Dupont Road, Suite E, Fort Wayne IN 46825-1056
indianalicensing.org
ID 24932175
LAST UPDATED 2026-06-01 13:14:40 UTC
LAST UPDATED 2026-06-01 13:14:40 UTC
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