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COLLETTE & HAMILTON, PLLC.

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Company Details

Legal Name: COLLETTE & HAMILTON, PLLC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 21st 2022
Expiration date: 31 May 2026
UBI Number: 604 915 767
ZIP code: 99352
City: Richland
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3200 DUPORTAIL ST STE 204, RICHLAND, WA, 99352-6105, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 466 W 4800 N, SUITE 380, PROVO, UT, 84604-6105, UNITED STATES

Contact Details

E-Mail: CHRIS.STEELE@DENTIVE.COM
Phone Number: +1 214-789-9123

Nature of Business

Health Care, Social Assistance & Service Organization, DENTAL

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Registered Agent Information

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

Key Officers & Management

Name Role Address
JUSTIN BLAIR Executor 2901 ASHTON BLVD, STE 210, LEHI, UT, 84043, UNITED STATES
JAMES COLLETTE Governing Person -

National Provider Identifier

NPI Number:
1093433815
Certification Date:
2022-08-17

Authorized Person:

Name:
YADIRA GONZALEZ
Role:
CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

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