Indiana
Professional Licensing Agency
Doanld A. Fantuzzo, DDS, PC
Radiology - Radiation Facility Dental
License number
XF902110
Date granted
01/23/2006
Date expires
01/29/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
3416 S. Dixon Road, Kokomo IN 46902
indianalicensing.org
ID 24934026
LAST UPDATED 2024-03-27 03:15:02 UTC
LAST UPDATED 2024-03-27 03:15:02 UTC
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