Indiana
Professional Licensing Agency
Southern Indiana Oral & Maxillofacial Surgery
Radiology - Radiation Facility Dental
License number
XF900194
Date granted
06/28/2005
Date expires
09/09/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
207 Sparks Avenue, Medical Arts Building, Suite 002, Clarksville IN 47129
indianalicensing.org
ID 24931275
LAST UPDATED 2024-04-08 02:15:10 UTC
LAST UPDATED 2024-04-08 02:15:10 UTC
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