Indiana
Professional Licensing Agency
LAKESHORE FAMILY DENTAL PC
Dentistry Board - Dental Corporation
License number
54001178A
Date granted
11/23/1999
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
1232 EAST MICHIGAN BLVD, MICHIGAN CITY IN 46360
indianalicensing.org
ID 24746613
LAST UPDATED 2026-05-30 09:43:18 UTC
LAST UPDATED 2026-05-30 09:43:18 UTC
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