Indiana
Professional Licensing Agency
Head And Neck Diagnostic Associates, P.C.
Dentistry Board - Dental Corporation
License number
54000864A
Date granted
08/10/1994
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
491 West Washington Street, Rensselaer IN 47978
indianalicensing.org
ID 24747449
LAST UPDATED 2026-05-30 08:08:23 UTC
LAST UPDATED 2026-05-30 08:08:23 UTC
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