License holder summary

Gentle Dentist - Eagle Creek is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Gentle Dentist - Eagle Creek is 6225 West 56th Street, Suite 100, Indianapolis IN 46254-0002. This licensed professional license is current. The license was granted 01/12/2004 and expired on 01/02/2017.

Indiana

Professional Licensing Agency

Gentle Dentist - Eagle Creek
Radiology - Radiation Facility Dental
License number
XF902670
Date granted
01/12/2004
Date expires
01/02/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
6225 West 56th Street, Suite 100, Indianapolis IN 46254-0002
indianalicensing.org
ID 24933397
LAST UPDATED 2024-04-30 06:58:07 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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