Indiana
Professional Licensing Agency
Dupont Family Dentistry
Radiology - Radiation Facility Dental
License number
XF900588
Date granted
05/31/2004
Date expires
03/04/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
10215 Dupont Circle Drive West, Fort Wayne IN 46825-1656
indianalicensing.org
ID 24932202
LAST UPDATED 2024-04-03 06:27:47 UTC
LAST UPDATED 2024-04-03 06:27:47 UTC
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