Thomas R. Blake, D.D.S.
Radiology - Radiation Facility Dental
Indiana XF900007 Active
This Indiana license is held by Thomas R. Blake, D.D.S.. The license is currently active. It was granted on 08/18/2003 and expired on 07/05/2015
LICENSE DETAILS
- License Number: XF900007
- Category: Radiation Facility - Dental
- Status: Active
- Date Granted: 08/18/2003 (almost 22 years ago)
- Expiry Date: 07/05/2015 (almost 10 years ago)
LOCATIONS
A Address
2409 Fairoak Drive, Fort Wayne IN 46809-2301
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