License holder summary

Wagner Family Dental, LLC is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Wagner Family Dental, LLC is 4115 Mannheim Road, Jasper IN 47546-2964. This licensed professional license is current. The license was granted 10/30/2009 and expired on 12/28/2014.

Indiana

Professional Licensing Agency

Wagner Family Dental, LLC
Radiology - Radiation Facility Dental
License number
XF903301
Date granted
10/30/2009
Date expires
12/28/2014
Class
Radiology - Radiation Facility Dental
Status
Active
Address
4115 Mannheim Road, Jasper IN 47546-2964
indianalicensing.org
ID 24933919
LAST UPDATED 2024-05-01 06:37:40 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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