Indiana
Professional Licensing Agency
Indiana Oral & Maxillofacial Surgery Associates
Dentistry Board - Ce Sponsor Dental
License number
98000281A
Date granted
11/08/2004
Date expires
03/01/2016
Class
Dentistry Board - Ce Sponsor Dental
Status
Active
Address
8140 Knue Road, Ste #103, Indianapolis IN 46250
indianalicensing.org
ID 24741570
LAST UPDATED 2026-03-26 22:25:03 UTC
LAST UPDATED 2026-03-26 22:25:03 UTC
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