License holder summary

Phillip M. Bly, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Phillip M. Bly, D.D.S. is 7126 North Shadeland Avenue, Suite B, Indianapolis IN 46250-2020. This licensed professional license is current. The license was granted 02/10/2005 and expired on 01/21/2017.

Indiana

Professional Licensing Agency

Phillip M. Bly, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902726
Date granted
02/10/2005
Date expires
01/21/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
7126 North Shadeland Avenue, Suite B, Indianapolis IN 46250-2020
indianalicensing.org
ID 24933710
LAST UPDATED 2024-04-23 05:03:45 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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