Indiana
Professional Licensing Agency
Fidel Barbosa
Controlled Substance Registration - Dentist
License number
12009845B
Date granted
07/26/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Contemporary Dentistry Associates LLC, 12525 North Meridian Street, Carmel IN 46032-9150
indianalicensing.org
ID 5085450
LAST UPDATED 2024-04-26 09:04:20 UTC
LAST UPDATED 2024-04-26 09:04:20 UTC
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