License holder summary

Park Family Dentistry is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Park Family Dentistry is 1902 East Ireland Road, South Bend IN 46614-2909. This licensed professional license is current. The license was granted 07/01/2005 and expired on 09/05/2015.

Indiana

Professional Licensing Agency

Park Family Dentistry
Radiology - Radiation Facility Dental
License number
XF901904
Date granted
07/01/2005
Date expires
09/05/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1902 East Ireland Road, South Bend IN 46614-2909
indianalicensing.org
ID 24935767
LAST UPDATED 2024-03-09 07:18:04 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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