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ALPHA DENTURE CLINIC, INC.

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Company Details

Legal Name: ALPHA DENTURE CLINIC, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 16th 1997
Date of Dissolution: June 3rd 2022
Expiration date: 31 Jan 2022
UBI Number: 601 762 940
Home State: ARIZONA
Principal Office Street Address: Google Maps Logo 18521 W SAN MIGUEL AVE, LITCHFIELD PARK, AZ, 85340, UNITED STATES

Contact Details

E-Mail: DON.DEEJENSEN@LIVE.COM
Phone Number: +1 425-327-5512

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
PAUL TAGGART Registered Agent 3209 COLBY AVE, SUITE #105, EVERETT, WA, 98201-5109, UNITED STATES

Key Officers & Management

Name Role Address
DOROTHY JENSEN Governing Person 308 EDINBURGH DR, CAMANO IS, WA, 98282, UNITED STATES
DONALD JENSEN Governing Person 308 EDINBURGH DR, CAMANO IS, WA, 98282, UNITED STATES

National Provider Identifier

NPI Number:
1730451527

Authorized Person:

Name:
MRS. DOROTHY JENSEN
Role:
BUSINESS MGR
Phone:

Taxonomy:

Selected Taxonomy:
302F00000X - Exclusive Provider Organization
Is Primary:
Yes

Contacts:

Fax:
3606587280
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