License holder summary

Orthodontic Specialty Services is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Orthodontic Specialty Services is 1120 East Dupont Road, Fort Wayne IN 46825-1556. This licensed professional license is current. The license was granted 06/10/2004 and expired on 03/15/2015.

Indiana

Professional Licensing Agency

Orthodontic Specialty Services
Radiology - Radiation Facility Dental
License number
XF900029
Date granted
06/10/2004
Date expires
03/15/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1120 East Dupont Road, Fort Wayne IN 46825-1556
indianalicensing.org
ID 24932324
LAST UPDATED 2024-03-10 02:32:58 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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