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BENJAMIN JOHNSON DMD, PLLC.

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Company Details

Legal Name: BENJAMIN JOHNSON DMD, PLLC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 25th 2023
Expiration date: 31 Oct 2026
UBI Number: 605 343 891
ZIP code: 98166
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 275 SW 160TH ST, BURIEN, WA, 98166-3006, UNITED STATES

Contact Details

E-Mail: ACCOUNTING@PNWOMS.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
BENJAMIN JOHNSON Registered Agent 275 SW 160TH ST, BURIEN, WA, 98166-3006, UNITED STATES

Key Officers & Management

Name Role Address
BENJAMIN JOHNSON Executor 275 SW 160TH ST, BURIEN, WA, 98166-3003, UNITED STATES
BENJAMIN JOHNSON Governing Person -

National Provider Identifier

NPI Number:
1063253672
Certification Date:
2024-06-05

Authorized Person:

Name:
DR. BENJAMIN JOHNSON
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

History

Type Old value New value Date of change
Name change BENJAMIN JOHNSON DDS, PLLC. BENJAMIN JOHNSON DMD, PLLC. 2024-08-27
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