License holder summary

South Central Oral & Maxillofacial Surgery, LLC is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for South Central Oral & Maxillofacial Surgery, LLC is 2614 Smile Lane, Bedford IN 47421-3573. This licensed professional license is current. The license was granted 12/15/2004 and expired on 12/09/2016.

Indiana

Professional Licensing Agency

South Central Oral & Maxillofacial Surgery, LLC
Radiology - Radiation Facility Dental
License number
XF902346
Date granted
12/15/2004
Date expires
12/09/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
2614 Smile Lane, Bedford IN 47421-3573
indianalicensing.org
ID 24930627
LAST UPDATED 2024-03-25 18:22:16 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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