License holder summary

Periodontics & Implant Dentistry, P.C.. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Periodontics & Implant Dentistry, P.C.. is 225 North Notre Dame Avenue , Suite 4, South Bend IN 46617-2896. This licensed professional license is current. The license was granted 08/24/2004 and expired on 09/03/2017.

Indiana

Professional Licensing Agency

Periodontics & Implant Dentistry, P.C..
Radiology - Radiation Facility Dental
License number
XF901483
Date granted
08/24/2004
Date expires
09/03/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
225 North Notre Dame Avenue , Suite 4, South Bend IN 46617-2896
indianalicensing.org
ID 24935780
LAST UPDATED 2026-03-26 11:22:18 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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