Indiana
Professional Licensing Agency
Matthew 25 Health / Dental Clinic
Radiology - Radiation Facility Dental
License number
XF901534
Date granted
10/01/2002
Date expires
02/13/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
413 East Jefferson Street, Fort Wayne IN 46802-3201
indianalicensing.org
ID 24932300
LAST UPDATED 2026-04-14 06:22:48 UTC
LAST UPDATED 2026-04-14 06:22:48 UTC
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