Indiana
Professional Licensing Agency
Dane E. Wallsmith, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900544
Date granted
10/16/2003
Date expires
08/15/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
3415 South Lafountain Street, Suite D, Kokomo IN 46902-3802
indianalicensing.org
ID 24934023
LAST UPDATED 2024-04-17 04:03:51 UTC
LAST UPDATED 2024-04-17 04:03:51 UTC
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