License holder summary

Hazel Dell Cosmetic & Family Dentistry is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Hazel Dell Cosmetic & Family Dentistry is 13190 Hazel Dell Parkway, Suite 160, Carmel IN 46033-8528. This licensed professional license is current. The license was granted 08/25/2005 and expired on 06/11/2017.

Indiana

Professional Licensing Agency

Hazel Dell Cosmetic & Family Dentistry
Radiology - Radiation Facility Dental
License number
XF901041
Date granted
08/25/2005
Date expires
06/11/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
13190 Hazel Dell Parkway, Suite 160, Carmel IN 46033-8528
indianalicensing.org
ID 24931090
LAST UPDATED 2024-04-14 23:16:34 UTC

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