Indiana
Professional Licensing Agency
FAMILY DENTISTRY & AESTHETICS
Dentistry Board - Dental Corporation
License number
54000134A
Date granted
01/01/1979
Date expires
01/31/2004
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
INC, 4626 W JEFFERSON BOULEVARD, FORT WAYNE IN 46804
indianalicensing.org
ID 24744253
LAST UPDATED 2024-01-30 09:16:08 UTC
LAST UPDATED 2024-01-30 09:16:08 UTC
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