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CUSTOM DENTAL, INC.

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Company Details

Legal Name: CUSTOM DENTAL, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: December 28th 2006
Date of Dissolution: May 3rd 2018
Expiration date: 31 Dec 2017
UBI Number: 602 682 385
ZIP code: 98902
City: Yakima
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1103 S 20TH AVE, YAKIMA, WA, 98902, UNITED STATES

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Registered Agent Information

Name Role Address
ROBERT A FORD Registered Agent 3806 TIETON DR, YAKIMA, WA, 98902-0000, UNITED STATES

Key Officers & Management

Name Role Address
MARILYN FORD Governing Person 3806 TIETON DR, YAKIMA, WA, 98902, UNITED STATES
ROBERT FORD Governing Person 3806 TIETON DR, YAKIMA, WA, 98902, UNITED STATES

National Provider Identifier

NPI Number:
1669667663

Authorized Person:

Name:
MR. ROBERT A FORD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
122400000X - Denturist
Is Primary:
Yes

Contacts:

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