Indiana
Professional Licensing Agency
WAWASEE LAKESIDE DC INC
Dentistry Board - Dental Corporation
License number
54000213A
Date granted
01/01/1977
Date expires
12/31/1981
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
R.R. #2 BOX 223, SYRACUSE IN 46567
indianalicensing.org
ID 24747972
LAST UPDATED 2026-03-26 08:49:57 UTC
LAST UPDATED 2026-03-26 08:49:57 UTC
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