Indiana
Professional Licensing Agency
D. A. BLAINE DDS INC
Dentistry Board - Dental Corporation
License number
54000242A
Date granted
01/01/1978
Date expires
12/31/1982
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
8730 INDIANAPOLIS BLVD., HIGHLAND IN 46322
indianalicensing.org
ID 24744895
LAST UPDATED 2024-02-27 12:42:51 UTC
LAST UPDATED 2024-02-27 12:42:51 UTC
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