License holder summary

Dewald Northeast Dental Group is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Dewald Northeast Dental Group is 405 Smith Drive, Auburn IN 46706-3655. This licensed professional license is current. The license was granted 07/15/2004 and expired on 07/02/2017.

Indiana

Professional Licensing Agency

Dewald Northeast Dental Group
Radiology - Radiation Facility Dental
License number
XF900241
Date granted
07/15/2004
Date expires
07/02/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
405 Smith Drive, Auburn IN 46706-3655
indianalicensing.org
ID 24930499
LAST UPDATED 2024-03-18 05:20:57 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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