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D BENZ MD, PLLC

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Company Details

Legal Name: D BENZ MD, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 8th 2011
Date of Dissolution: October 3rd 2019
Expiration date: 31 May 2019
UBI Number: 603 111 461
ZIP code: 98684
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 19110 NE 21ST ST, VANCOUVER, WA, 98684-0907, UNITED STATES

Contact Details

E-Mail: MERIDON@COMCAST.NET

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DONALD BENZ Registered Agent 19110 NE 21ST ST, VANCOUVER, WA, 98684-0000, UNITED STATES

Key Officers & Management

Name Role Address
DONALD BENZ Governing Person 19110 NE 21ST STREET, VANCOUVER, WA, 98684, UNITED STATES

National Provider Identifier

NPI Number:
1386925592

Authorized Person:

Name:
DONALD J BENZ
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

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