License holder summary

Small Smiles Dental Center- Fort Wayne is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Small Smiles Dental Center- Fort Wayne is 7524 S. Anthony Blvd, Fort Wayne IN 46816-2517. This licensed professional license is current. The license was granted 06/12/2006 and expired on 06/29/2015.

Indiana

Professional Licensing Agency

Small Smiles Dental Center- Fort Wayne
Radiology - Radiation Facility Dental
License number
XF903077
Date granted
06/12/2006
Date expires
06/29/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
7524 S. Anthony Blvd, Fort Wayne IN 46816-2517
indianalicensing.org
ID 24932351
LAST UPDATED 2024-03-14 11:11:59 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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