Indiana
Professional Licensing Agency
University Park Family Dentistry, P.C.
Dentistry Board - Dental Corporation
License number
54001580A
Date granted
10/30/2007
Date expires
01/31/2014
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
16597 State Road 23, South Bend IN 46635
indianalicensing.org
ID 24747887
LAST UPDATED 2024-03-04 14:45:23 UTC
LAST UPDATED 2024-03-04 14:45:23 UTC
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