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CREEKSIDE DENTAL SLEEP THERAPY, PLLC

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Company Details

Legal Name: CREEKSIDE DENTAL SLEEP THERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: December 28th 2015
Date of Dissolution: March 8th 2024
Expiration date: 31 Dec 2023
UBI Number: 603 571 454
ZIP code: 99336
City: Kennewick
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 216 N EDISON ST, KENNEWICK, WA, 99336-1956, UNITED STATES

Contact Details

E-Mail: BVOLMER@POWELLANDGUNTER.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
WALKER HEYE, PLLC Registered Agent 1333 COLUMBIA PARK TRL, STE 220, RICHLAND, WA, 99352-4713, UNITED STATES

Key Officers & Management

Name Role
KIMBALL LARSEN Governing Person

National Provider Identifier

NPI Number:
1538527114

Authorized Person:

Name:
MARIANNE OBSTAR
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
5097371360
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