License holder summary

Lakewood Family Dental is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Lakewood Family Dental is 4512 Parnell Avenue, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 06/23/2014 and expired on 06/05/2017.

Indiana

Professional Licensing Agency

Lakewood Family Dental
Radiology - Radiation Facility Dental
License number
XF903530
Date granted
06/23/2014
Date expires
06/05/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
4512 Parnell Avenue, Fort Wayne IN 46825
indianalicensing.org
ID 24932289
LAST UPDATED 2026-06-12 04:40:16 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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