License holder summary

MICHAEL T TOM D D S P C is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for MICHAEL T TOM D D S P C is DBA COMPREHENSIVE DENTISTRY, 1220 MEDICAL PARK DRIVE STE 1, FORT WAYNE IN 46825. This licensed professional license is not current. The license was granted 07/20/1998 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

MICHAEL T TOM D D S P C
Dentistry Board - Dental Corporation
License number
54001110A
Date granted
07/20/1998
Date expires
01/31/2004
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
DBA COMPREHENSIVE DENTISTRY, 1220 MEDICAL PARK DRIVE STE 1, FORT WAYNE IN 46825
indianalicensing.org
ID 24744307
LAST UPDATED 2026-05-28 18:55:16 UTC

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