License holder summary

Periodontics & Dental Implant Center of Southern Indiana is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Periodontics & Dental Implant Center of Southern Indiana is 379 South Park Ridge Road, Bloomington IN 47401-8574. This licensed professional license is current. The license was granted 06/08/2004 and expired on 11/27/2015.

Indiana

Professional Licensing Agency

Periodontics & Dental Implant Center of Southern Indiana
Radiology - Radiation Facility Dental
License number
XF903036
Date granted
06/08/2004
Date expires
11/27/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
379 South Park Ridge Road, Bloomington IN 47401-8574
indianalicensing.org
ID 24930805
LAST UPDATED 2024-02-27 05:12:17 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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