License holder summary

Fountain Square Dental Clinic is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Fountain Square Dental Clinic is 1122 Shelby Street, Indianapolis IN 46203-1904. This licensed professional license is current. The license was granted 07/16/2003 and expired on 07/30/2015.

Indiana

Professional Licensing Agency

Fountain Square Dental Clinic
Radiology - Radiation Facility Dental
License number
XF901040
Date granted
07/16/2003
Date expires
07/30/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1122 Shelby Street, Indianapolis IN 46203-1904
indianalicensing.org
ID 24933362
LAST UPDATED 2026-04-27 09:21:43 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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