DAVID A. COTANT, D.D.S., P.S.

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Company Details

Legal Name:	DAVID A. COTANT, D.D.S., P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	July 1st 1976
Date of Dissolution:	June 30th 2013
Expiration date:	31 Jul 2013
UBI Number:	600 198 296

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Registered Agent Information

Name	Role	Address
THOMAS K FAUBION	Registered Agent	5920 100TH ST SW #25, TACOMA, WA, 98499, UNITED STATES

Key Officers & Management

Name	Role	Address
DAVID COTANT	Governing Person	1017 SHORT STREET, STEILACOOM, WA, 98388, UNITED STATES
HEIDI COTANT	Governing Person	12812 LAKE CITY BLVD SW, LAKEWOOD, WA, 98498, UNITED STATES

National Provider Identifier

NPI Number:

1609900638

Link:

View on NPI website

Authorized Person:

Name:

DR. DAVID A COTANT

Role:

OWNER PRESIDENT

Phone:

2535840858

Taxonomy:

Selected Taxonomy:

1223S0112X - Oral and Maxillofacial Surgery (Dentist)

Is Primary:

Yes

Contacts:

Phone:

+1 253-584-0858

Fax:

2535841446

Form 5500 Series

Employer Identification Number (EIN):

910965485

Plan Year:

2012

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

2535840858

Plan Administrator / Signatory:

DAVID A COTANT(Plan administrator) DAVID A COTANT(Employer/plan sponsor)

Plan Year:

2012

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

2535840858

File:

Plan Administrator / Signatory:

DAVID A COTANT(Plan administrator) DAVID A COTANT(Employer/plan sponsor)

Plan Year:

2011

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

2535840858

File:

Plan Administrator / Signatory:

DAVID A COTANT(Plan administrator) DAVID A COTANT(Employer/plan sponsor)

Plan Year:

2010

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

2535840858

File:

Plan Administrator / Signatory:

DAVID A COTANT(Plan administrator) DAVID A COTANT(Employer/plan sponsor)

Plan Year:

2009

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

2535840858

File:

Plan Administrator / Signatory:

DAVID A COTANT(Plan administrator) DAVID A COTANT(Employer/plan sponsor)

OSHA's Inspections within Industry

Inspection Summary

Date:

2011-01-20

Type:

Planned

Address:

9101 BRIDGEPORT WAY SW, LAKEWOOD, WA, 98499

Safety Health:

Health

Scope:

Complete

Inspection Link:

View Inspection data on OSHA website

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