License holder summary

Miracle Lane Family Dentistry P.C. is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for Miracle Lane Family Dentistry P.C. is 2332 Miracle Lane, Mishawaka IN 46545. This licensed professional license is current. The license was granted 07/14/2014 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Miracle Lane Family Dentistry P.C.
Dentistry Board - Dental Corporation
License number
54001789A
Date granted
07/14/2014
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
2332 Miracle Lane, Mishawaka IN 46545
indianalicensing.org
ID 24746700
LAST UPDATED 2024-05-03 13:09:17 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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