Indiana
Professional Licensing Agency
ImmediaDent of Indiana 4, P.C.
Dentistry Board - Dental Corporation
License number
54001521A
Date granted
09/13/2006
Date expires
01/31/2008
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
892 S. Fairway Village Blvd., Greenfield IN 46140
indianalicensing.org
ID 24744672
LAST UPDATED 2024-04-03 15:36:14 UTC
LAST UPDATED 2024-04-03 15:36:14 UTC
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