Indiana
Professional Licensing Agency
Washington Square Family Dental
Radiology - Radiation Facility Dental
License number
XF902194
Date granted
09/01/2004
Date expires
09/12/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
830 North Mitthoeffer, Indianapolis IN 46229-2621
indianalicensing.org
ID 24933859
LAST UPDATED 2026-04-06 10:59:40 UTC
LAST UPDATED 2026-04-06 10:59:40 UTC
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