Indiana
Professional Licensing Agency
Implant Dentistry and Periodontics
Dentistry Board - Ce Sponsor Dental
License number
98000569A
Date granted
08/10/2011
Date expires
03/02/2016
Class
Dentistry Board - Ce Sponsor Dental
Status
Active
Address
9865 East 116th Street, Suite 100, Fishers IN 46037
indianalicensing.org
ID 24741260
LAST UPDATED 2026-06-03 04:18:18 UTC
LAST UPDATED 2026-06-03 04:18:18 UTC
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