License holder summary

Jefferson Dental Center is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Jefferson Dental Center is 2628 East Jefferson Boulevard, South Bend IN 46615-2724. This licensed professional license is current. The license was granted 09/21/2005 and expired on 03/13/2017.

Indiana

Professional Licensing Agency

Jefferson Dental Center
Radiology - Radiation Facility Dental
License number
XF900709
Date granted
09/21/2005
Date expires
03/13/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
2628 East Jefferson Boulevard, South Bend IN 46615-2724
indianalicensing.org
ID 24935741
LAST UPDATED 2024-04-17 21:02:04 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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