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CALVIN H KIM DDS PLLC

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Company Details

Legal Name: CALVIN H KIM DDS PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: September 25th 2009
Date of Dissolution: February 3rd 2019
Expiration date: 30 Sep 2018
UBI Number: 602 956 655
ZIP code: 98532
City: Chehalis
County: LEWIS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1299 A BISHOP RD, CHEHALIS, WA, 98532, UNITED STATES

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Registered Agent Information

Name Role Address
CALVIN H KIM Registered Agent 1299 BISHOP RD STE B, CHEHALIS, WA, 98532-8758, UNITED STATES

Key Officers & Management

Name Role
CALVIN KIM Governing Person

National Provider Identifier

NPI Number:
1255713335

Authorized Person:

Name:
DR. CALVIN H KIM
Role:
DENTIST/ OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
3607409998
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