License holder summary

Three Rivers Family Dentistry is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Three Rivers Family Dentistry is 2828 East State Blvd, Fort Wayne IN 46805-4761. This licensed professional license is current. The license was granted 05/06/2004 and expired on 04/01/2016.

Indiana

Professional Licensing Agency

Three Rivers Family Dentistry
Radiology - Radiation Facility Dental
License number
XF900583
Date granted
05/06/2004
Date expires
04/01/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
2828 East State Blvd, Fort Wayne IN 46805-4761
indianalicensing.org
ID 24932380
LAST UPDATED 2024-04-09 12:10:16 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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