Indiana
Professional Licensing Agency
Dental Consultants of Northeast Indiana, P.C.
Dentistry Board - Dental Corporation
License number
54001475A
Date granted
08/19/2005
Date expires
01/31/2012
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
11115 Lima Road, Fort Wayne IN 46818-9536
indianalicensing.org
ID 24744211
LAST UPDATED 2024-02-23 02:30:20 UTC
LAST UPDATED 2024-02-23 02:30:20 UTC
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