License holder summary

Summit Dental Group is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Summit Dental Group is 10213 Dupont Circle Drive West, Fort Wayne IN 46825-1656. This licensed professional license is current. The license was granted 06/10/2004 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Summit Dental Group
Radiology - Radiation Facility Dental
License number
XF900114
Date granted
06/10/2004
Date expires
01/31/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
10213 Dupont Circle Drive West, Fort Wayne IN 46825-1656
indianalicensing.org
ID 24932368
LAST UPDATED 2026-03-30 18:03:53 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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