Indiana
Professional Licensing Agency
Prairie Lakes Dental Care, P.C.
Dentistry Board - Dental Corporation
License number
54001423A
Date granted
10/12/2004
Date expires
01/31/2006
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
11683 Fox Road, Indianapolis IN 46236
indianalicensing.org
ID 24745628
LAST UPDATED 2024-03-07 12:24:01 UTC
LAST UPDATED 2024-03-07 12:24:01 UTC
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