Indiana
Professional Licensing Agency
Familia Dental SPFW, LLC
Radiology - Radiation Facility Dental
License number
XF903534
Date granted
07/01/2014
Date expires
07/01/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
100 East Petit Avenue, Fort Wayne IN 46806
indianalicensing.org
ID 24932209
LAST UPDATED 2026-04-21 09:05:02 UTC
LAST UPDATED 2026-04-21 09:05:02 UTC
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