Indiana
Professional Licensing Agency
Tipton Lakes Family Dentist LLC
Dentistry Board - Mobile Dental Facility
License number
65000025A
Date granted
04/09/2014
Date expires
03/01/2016
Class
Dentistry Board - Mobile Dental Facility
Status
Active
Address
4570 W Jonathan Moore Park, Columbus IN 47201
indianalicensing.org
ID 24748701
LAST UPDATED 2024-06-12 00:06:39 UTC
LAST UPDATED 2024-06-12 00:06:39 UTC
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