Indiana
Professional Licensing Agency
Merneatha Bazilio, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902793
Date granted
12/17/2002
Date expires
05/11/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
6008 East 46th Street, Indianapolis IN 46226-3413
indianalicensing.org
ID 24933628
LAST UPDATED 2026-04-03 17:30:10 UTC
LAST UPDATED 2026-04-03 17:30:10 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.