Indiana
Professional Licensing Agency
Crossroads Pediatric Dentistry, P.C.
Dentistry Board - Dental Corporation
License number
54001427A
Date granted
10/29/2004
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
21781 Omega Court, Goshen IN 46528
indianalicensing.org
ID 24744580
LAST UPDATED 2024-04-17 18:57:51 UTC
LAST UPDATED 2024-04-17 18:57:51 UTC
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