License holder summary

South Bend Family Dentistry P.C. is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for South Bend Family Dentistry P.C. is 1637 PORTAGE AVE, South Bend IN 46616. This licensed professional license is current. The license was granted 08/09/2002 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

South Bend Family Dentistry P.C.
Dentistry Board - Dental Corporation
License number
54001321A
Date granted
08/09/2002
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
1637 PORTAGE AVE, South Bend IN 46616
indianalicensing.org
ID 24747865
LAST UPDATED 2024-03-05 07:36:12 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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