Indiana
Professional Licensing Agency
East Central Indiana Oral & Maxillofacial Surgery
Radiology - Radiation Facility Dental
License number
XF900151
Date granted
06/24/2004
Date expires
03/27/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
3895 North Wheeling Avenue, Muncie IN 47304-0000
indianalicensing.org
ID 24934809
LAST UPDATED 2026-06-01 11:02:14 UTC
LAST UPDATED 2026-06-01 11:02:14 UTC
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