Indiana
Professional Licensing Agency
Midwest Oral And Maxillofacial Surgery, P.C.
Dentistry Board - Dental Corporation
License number
54000677A
Date granted
10/29/1986
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
attn: Kelly, 3303 TRIER ROAD, Fort Wayne IN 46815
indianalicensing.org
ID 24744320
LAST UPDATED 2024-02-25 10:22:44 UTC
LAST UPDATED 2024-02-25 10:22:44 UTC
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