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CHET JENKINS P.C.

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Company Details

Legal Name: CHET JENKINS P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 15th 2019
Expiration date: 31 Mar 2026
UBI Number: 604 421 591
Home State: ARIZONA
Principal Office Street Address: Google Maps Logo 410 N 44TH ST, SUITE 600, PHOENIX, AZ, 85008-7622, UNITED STATES

Contact Details

E-Mail: ACCOUNTING@SIGNATUREDENTALPARTNERS.COM
Phone Number: +1 480-626-4147

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role Address
LANCE SHOPOVICK Governing Person -
LAURA BELL Governing Person -
CHET JENKINS DDS INCORPORATOR 410 N 44TH ST STE 290, PHOENIX, AZ, 85008-7622, UNITED STATES

National Provider Identifier

NPI Number:
1699331363
Certification Date:
2022-10-18

Authorized Person:

Name:
MELODY BENNION
Role:
DIRECTOR OF INTEGRATIONS
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
5095470572
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