License holder summary

Northeast Oral & Maxillofacial Surgery is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Northeast Oral & Maxillofacial Surgery is 9860 Westpoint Drive, Suite 100, Indianapolis IN 46256-3335. This licensed professional license is current. The license was granted 11/13/2003 and expired on 08/28/2015.

Indiana

Professional Licensing Agency

Northeast Oral & Maxillofacial Surgery
Radiology - Radiation Facility Dental
License number
XF900849
Date granted
11/13/2003
Date expires
08/28/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
9860 Westpoint Drive, Suite 100, Indianapolis IN 46256-3335
indianalicensing.org
ID 24933677
LAST UPDATED 2026-05-14 23:31:41 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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