Indiana
Professional Licensing Agency
Midtown Dental, PC
Dentistry Board - Dental Corporation
License number
54001773A
Date granted
08/23/2013
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
2703 Broadway, Fort Wayne IN 46807
indianalicensing.org
ID 24744311
LAST UPDATED 2026-05-08 01:33:55 UTC
LAST UPDATED 2026-05-08 01:33:55 UTC
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