License holder summary

Midtown Dental is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Midtown Dental is 2703 Broadway, Fort Wayne IN 46807-1111. This licensed professional license is current. The license was granted 08/04/2004 and expired on 02/10/2017.

Indiana

Professional Licensing Agency

Midtown Dental
Radiology - Radiation Facility Dental
License number
XF900039
Date granted
08/04/2004
Date expires
02/10/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
2703 Broadway, Fort Wayne IN 46807-1111
indianalicensing.org
ID 24932311
LAST UPDATED 2024-04-27 14:56:15 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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