Phillip M. Bly, D.D.S.

Radiology - Radiation Facility Dental

Indiana  XF902726   Active

This Indiana license is held by Phillip M. Bly, D.D.S.. The license is currently active. It was granted on 02/10/2005 and expired on 01/21/2017

LICENSE DETAILS

  • License Number: XF902726
  • Category: Radiation Facility - Dental
  • Status: Active
  • Date Granted: 02/10/2005 (over 20 years ago)
  • Expiry Date: 01/21/2017 (over 8 years ago)

LOCATIONS

A Address

7126 North Shadeland Avenue, Suite B, Indianapolis IN 46250-2020