Indiana
Professional Licensing Agency
Executive Dental Care, Inc.
Radiology - Radiation Facility Dental
License number
XF900037
Date granted
03/16/2006
Date expires
12/30/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
7908 Carnegie Boulevard, Fort Wayne IN 46804-5781
indianalicensing.org
ID 24932212
LAST UPDATED 2026-05-26 15:50:08 UTC
LAST UPDATED 2026-05-26 15:50:08 UTC
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