Indiana
Professional Licensing Agency
Fort Wayne Sedation Dentistry, P.C.
Dentistry Board - Dental Corporation
License number
54001760A
Date granted
02/15/2013
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
12714 Cold Water Road, Fort Wayne IN 46845
indianalicensing.org
ID 24744256
LAST UPDATED 2024-03-06 05:53:13 UTC
LAST UPDATED 2024-03-06 05:53:13 UTC
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