Indiana
Professional Licensing Agency
East State Dental Care
Radiology - Radiation Facility Dental
License number
XF900071
Date granted
04/18/2004
Date expires
02/22/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
2828 East State Boulevard, Suite A, Fort Wayne IN 46805-4761
indianalicensing.org
ID 24932199
LAST UPDATED 2024-03-01 20:58:43 UTC
LAST UPDATED 2024-03-01 20:58:43 UTC
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