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DANIEL M. HENRICKSEN DDS MS PLLC

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Company Details

Legal Name: DANIEL M. HENRICKSEN DDS MS PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 26th 2014
Expiration date: 30 Nov 2025
UBI Number: 603 455 829
ZIP code: 98532
City: Chehalis
County: LEWIS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1292 S MARKET BLVD, CHEHALIS, WA, 98532-3645, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $49,885

Contact Details

E-Mail: HENRICKSENFAMILYDENTAL@GMAIL.COM
Phone Number: +1 360-748-4481

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DANIEL M HENRICKSEN DDS MS Registered Agent 1292 S MARKET BLVD, CHEHALIS, WA, 98532-0000, UNITED STATES

Key Officers & Management

Name Role
DANIEL HENRICKSEN Governing Person

National Provider Identifier

NPI Number:
1821410663

Authorized Person:

Name:
DANIEL M HENRICKSEN
Role:
DENTIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3607407542
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