Indiana
Professional Licensing Agency
Jyoti R. Shah
Controlled Substance Registration - Dentist
License number
12010068B
Date granted
11/05/1998
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
THE SMILE CENTER FAMILY DENTISTRY, 7420 NORTH SHADELAND AVENUE, INDIANAPOLIS IN 46250
indianalicensing.org
ID 5103165
LAST UPDATED 2024-02-15 10:33:03 UTC
LAST UPDATED 2024-02-15 10:33:03 UTC
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