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COLLINS ORAL & MAXILLOFACIAL SURGERY, P.S.

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Company Details

Legal Name: COLLINS ORAL & MAXILLOFACIAL SURGERY, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: November 22nd 2000
Date of Dissolution: November 13th 2015
Expiration date: 30 Nov 2016
UBI Number: 602 080 689

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Registered Agent Information

Name Role Address
PATRICK CCOLLINS Registered Agent 322 W 7TH AVE, SPOKANE, WA, 99204, UNITED STATES

Key Officers & Management

Name Role Address
PATRICK COLLINS Governing Person 322 W 7TH AVE, SPOKANE, WA, 99204, UNITED STATES

National Provider Identifier

NPI Number:
1336320621

Authorized Person:

Name:
KRISTIN HUMPHREY
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

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