License holder summary

Orchard Park Family Dentistry is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Orchard Park Family Dentistry is 1843 Ida Red Road, Kendallville IN 46755-2873. This licensed professional license is current. The license was granted 04/15/2004 and expired on 04/12/2016.

Indiana

Professional Licensing Agency

Orchard Park Family Dentistry
Radiology - Radiation Facility Dental
License number
XF900880
Date granted
04/15/2004
Date expires
04/12/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1843 Ida Red Road, Kendallville IN 46755-2873
indianalicensing.org
ID 24933963
LAST UPDATED 2024-03-05 23:38:05 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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