License holder summary

Indiana Periodontics and Dental Implants is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Indiana Periodontics and Dental Implants is 622 North Madison Avenue, Greenwood IN 46142. This licensed professional license is current. The license was granted 03/23/2005 and expired on 07/03/2016.

Indiana

Professional Licensing Agency

Indiana Periodontics and Dental Implants
Radiology - Radiation Facility Dental
License number
XF902365
Date granted
03/23/2005
Date expires
07/03/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
622 North Madison Avenue, Greenwood IN 46142
indianalicensing.org
ID 24932776
LAST UPDATED 2026-04-20 23:45:59 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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