Indiana
Professional Licensing Agency
WAWASEE LAKESIDE DENTAL CENTER
Dentistry Board - Dental Corporation
License number
54000550A
Date granted
01/23/1984
Date expires
01/31/1990
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
R R # 2 BOX 223, SYRACUSE IN 46567
indianalicensing.org
ID 24747974
LAST UPDATED 2026-03-26 07:19:20 UTC
LAST UPDATED 2026-03-26 07:19:20 UTC
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