Indiana
Professional Licensing Agency
Northwest Family Dentistry, P.C.
Dentistry Board - Dental Corporation
License number
54000902A
Date granted
01/13/1995
Date expires
01/31/2010
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
7913 MOSS GROVE PLACE, FORT WAYNE IN 46825
indianalicensing.org
ID 24744313
LAST UPDATED 2024-04-02 08:12:11 UTC
LAST UPDATED 2024-04-02 08:12:11 UTC
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