Indiana
Professional Licensing Agency
Union Chapel Dentistry, P.C.
Dentistry Board - Dental Corporation
License number
54001761A
Date granted
02/15/2013
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
12714 Coldwater Road, Fort Wayne IN 46845
indianalicensing.org
ID 24744414
LAST UPDATED 2026-06-25 22:44:03 UTC
LAST UPDATED 2026-06-25 22:44:03 UTC
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