License holder summary

Southeastern Dental Group is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Southeastern Dental Group is 6010 Southeastern Avenue, Indianapolis IN 46203-5611. This licensed professional license is not current. The license was granted 01/27/2005 and expired on 09/15/2013.

Indiana

Professional Licensing Agency

Southeastern Dental Group
Radiology - Radiation Facility Dental
License number
XF900954
Date granted
01/27/2005
Date expires
09/15/2013
Class
Radiology - Radiation Facility Dental
Status
Closed Facility
Address
6010 Southeastern Avenue, Indianapolis IN 46203-5611
indianalicensing.org
ID 24933811
LAST UPDATED 2024-04-10 19:21:28 UTC

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