License holder summary

Portage Family Dentistry, P.C. is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for Portage Family Dentistry, P.C. is 6044 LUTE ROAD, PORTAGE IN 46368. This licensed professional license is current. The license was granted 01/22/1998 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Portage Family Dentistry, P.C.
Dentistry Board - Dental Corporation
License number
54001083A
Date granted
01/22/1998
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
6044 LUTE ROAD, PORTAGE IN 46368
indianalicensing.org
ID 24747378
LAST UPDATED 2024-02-16 01:10:18 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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