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
LAST UPDATED 2026-04-20 23:45:59 UTC
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