Indiana
Professional Licensing Agency
Fishers Oral and Maxillofacial Surgery
Radiology - Radiation Facility Dental
License number
XF903092
Date granted
08/28/2006
Date expires
08/28/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
9124 Technology Drive, Suite 300, Fishers IN 46038-3094
indianalicensing.org
ID 24932031
LAST UPDATED 2026-05-12 02:41:11 UTC
LAST UPDATED 2026-05-12 02:41:11 UTC
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