License holder summary

Northeast Dental Clinic/MCPHD is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Northeast Dental Clinic/MCPHD is 6042 East 21st Street, Indianapolis IN 46202-2099. This licensed professional license is current. The license was granted 05/14/2004 and expired on 03/18/2016.

Indiana

Professional Licensing Agency

Northeast Dental Clinic/MCPHD
Radiology - Radiation Facility Dental
License number
XF902052
Date granted
05/14/2004
Date expires
03/18/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
6042 East 21st Street, Indianapolis IN 46202-2099
indianalicensing.org
ID 24933673
LAST UPDATED 2024-02-29 19:01:50 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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