Indiana
Professional Licensing Agency
Northeast Pediatric Dentistry
Radiology - Radiation Facility Dental
License number
XF900851
Date granted
12/22/2003
Date expires
01/09/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
11501 Cumberland Road, Suite 600, Fishers IN 46037
indianalicensing.org
ID 24932059
LAST UPDATED 2026-06-14 03:58:42 UTC
LAST UPDATED 2026-06-14 03:58:42 UTC
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