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ANTONIO D. CASO, D.D.S. P.S.

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Company Details

Legal Name: ANTONIO D. CASO, D.D.S. P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 20th 2004
Expiration date: 31 Aug 2025
UBI Number: 602 421 988
ZIP code: 99362
City: Walla Walla
County: WALLA WALLA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 312 S 3RD AVE, WALLA WALLA, WA, 99362, UNITED STATES

Contact Details

E-Mail: LEFORT3@YAHOO.COM
Phone Number: +1 509-529-3760

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ANTONIO CASO Registered Agent 312 S 3RD AVE, WALLA WALLA, WA, 99362-0000, UNITED STATES

Key Officers & Management

Name Role Address
JENNIFER CASO Governing Person 1360 STATELINE RD, WALLA WALLA, WA, 99362, UNITED STATES
ANTONIO CASO Governing Person 1360 STATLINE RD, WALLA WALLA, WA, 99362, UNITED STATES

National Provider Identifier

NPI Number:
1265441497

Authorized Person:

Name:
ANTONIO CASO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
5095297622

Form 5500 Series

Employer Identification Number (EIN):
201479362
Plan Year:
2011
Number Of Participants:
5
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ANTONIO D. CASO, DDS(Plan administrator)
Plan Year:
2010
Number Of Participants:
5
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ANTONIO D. CASO, DDS(Plan administrator) ANTONIO D. CASO, DDS, PS(Employer/plan sponsor)
Plan Year:
2009
Number Of Participants:
5
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ANTONIO D. CASO, DDS(Plan administrator)
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