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3D MAXILLOFACIAL IMAGING, PLLC

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Company Details

Legal Name: 3D MAXILLOFACIAL IMAGING, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: July 11th 2011
Date of Dissolution: November 3rd 2014
Expiration date: 31 Jul 2014
UBI Number: 603 129 631
ZIP code: 99362
City: Walla Walla
County: WALLA WALLA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 213 S 2ND AVE, WALLA WALLA, WA, 99362, UNITED STATES

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Registered Agent Information

Name Role Address
GWEN DAVIS Registered Agent 217 S 2ND AVE, WALLA WALLA, WA, 99362, UNITED STATES

Key Officers & Management

Name Role Address
NANNETTE GOYER Governing Person 374 S 1ST AVE, WALLA WALLA, WA, 99362, UNITED STATES

National Provider Identifier

NPI Number:
1366719254

Authorized Person:

Name:
DR. NANNETTE GOYER
Role:
OWNER/DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5095265295
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