License holder summary

Lafayette Oral & Maxillofacial Surgery Group, P.C. is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for Lafayette Oral & Maxillofacial Surgery Group, P.C. is 310 N. Alabama St., Ste #250, Indianapolis IN 46204. This licensed professional license is current. The license was granted 02/11/2004 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Lafayette Oral & Maxillofacial Surgery Group, P.C.
Dentistry Board - Dental Corporation
License number
54001403A
Date granted
02/11/2004
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
310 N. Alabama St., Ste #250, Indianapolis IN 46204
indianalicensing.org
ID 24745477
LAST UPDATED 2024-02-16 02:51:20 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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