Indiana
Professional Licensing Agency
Crystal Valley Family Dentistry, P.C.
Dentistry Board - Dental Corporation
License number
54001367A
Date granted
06/25/2003
Date expires
01/31/2014
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
11 Stoneridge Drive, Huntington IN 46750
indianalicensing.org
ID 24744969
LAST UPDATED 2024-03-17 10:56:04 UTC
LAST UPDATED 2024-03-17 10:56:04 UTC
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