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COLLETTE & HAMILTON, DDS, PLLC.

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Company Details

Legal Name: COLLETTE & HAMILTON, DDS, PLLC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: June 4th 2021
Date of Dissolution: November 3rd 2023
Expiration date: 30 Jun 2023
UBI Number: 604 763 925
ZIP code: 99337
City: Kennewick
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3911 W 27TH AVE STE 105, KENNEWICK, WA, 99337-2483, UNITED STATES

Contact Details

E-Mail: DOCHAMILTON@GMAIL.COM
Phone Number: +1 509-946-9999

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DAVID HAMILTON Registered Agent 3200 DUPORTAIL ST STE 204, RICHLAND, WA, 99352-6105, UNITED STATES

Key Officers & Management

Name Role Address
AIMEE DUPONT Executor 7373 S ALTON WAY, SUITE 100, CENTENNIAL, CO, 80112-2333, UNITED STATES
DAVID HAMILTON Governing Person -
JAMES COLLETTE Governing Person -

National Provider Identifier

NPI Number:
1427627728
Certification Date:
2021-06-21
Link:
View on NPI website

Authorized Person:

Name:
YADIRA GONZALEZ
Role:
CREDENTIALING
Phone:
5099469999

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Phone:
+1 509-946-9999
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