Indiana
Professional Licensing Agency
Philip C. Roach, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900070
Date granted
04/30/2003
Date expires
02/17/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
2121 East Dupont, Suite B, Fort Wayne IN 46825-1542
indianalicensing.org
ID 24932332
LAST UPDATED 2024-04-03 18:58:19 UTC
LAST UPDATED 2024-04-03 18:58:19 UTC
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