Indiana
Professional Licensing Agency
Fields 20/20 Family Dentistry
Radiology - Radiation Facility Dental
License number
XF901883
Date granted
10/02/2003
Date expires
05/02/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
6333 West Thompson Road, Indianapolis IN 46221-3619
indianalicensing.org
ID 24933357
LAST UPDATED 2024-04-12 12:38:38 UTC
LAST UPDATED 2024-04-12 12:38:38 UTC
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