License holder summary

Fort Wayne Dental Group, L.L.C. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Fort Wayne Dental Group, L.L.C. is 7202 Engle Road, Fort Wayne IN 46804-2222. This licensed professional license is current. The license was granted 08/10/2004 and expired on 01/11/2016.

Indiana

Professional Licensing Agency

Fort Wayne Dental Group, L.L.C.
Radiology - Radiation Facility Dental
License number
XF902304
Date granted
08/10/2004
Date expires
01/11/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
7202 Engle Road, Fort Wayne IN 46804-2222
indianalicensing.org
ID 24932219
LAST UPDATED 2024-04-26 21:46:32 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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