Indiana
Professional Licensing Agency
Root Canal Specialty Services
Radiology - Radiation Facility Dental
License number
XF902978
Date granted
05/15/2005
Date expires
01/29/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
4636 West Jefferson Boulevard, Fort Wayne IN 46804-6826
indianalicensing.org
ID 24932346
LAST UPDATED 2026-05-19 17:08:45 UTC
LAST UPDATED 2026-05-19 17:08:45 UTC
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