License holder summary

Emerson Avenue Dental is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Emerson Avenue Dental is Tim Balsa D.D.S., 4625 S. Emerson Avenue, Indianapolis IN 46203. This licensed professional license is current. The license was granted 11/02/2009 and expired on 09/19/2015.

Indiana

Professional Licensing Agency

Emerson Avenue Dental
Radiology - Radiation Facility Dental
License number
XF903302
Date granted
11/02/2009
Date expires
09/19/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
Tim Balsa D.D.S., 4625 S. Emerson Avenue, Indianapolis IN 46203
indianalicensing.org
ID 24933337
LAST UPDATED 2024-04-10 18:21:24 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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