License holder summary

Lakeside Family Dentistry, LLC is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Lakeside Family Dentistry, LLC is 935 N. Detroit Street, Warsaw IN 46580-2914. This licensed professional license is current. The license was granted 02/17/2004 and expired on 05/03/2016.

Indiana

Professional Licensing Agency

Lakeside Family Dentistry, LLC
Radiology - Radiation Facility Dental
License number
XF901971
Date granted
02/17/2004
Date expires
05/03/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
935 N. Detroit Street, Warsaw IN 46580-2914
indianalicensing.org
ID 24936163
LAST UPDATED 2024-03-09 15:26:46 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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