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DAVID WELTON, DDS. PC.

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Company Details

Legal Name: DAVID WELTON, DDS. PC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 12th 2020
Expiration date: 30 Jun 2026
UBI Number: 604 624 318
ZIP code: 99037
City: Veradale
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 15701 E SPRAGUE AVE, SPOKANE VLY, WA, 99037-5019, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 15701 E SPRAGUE AVE STE F, SPOKANE VLY, WA, 99037-5019, UNITED STATES

Contact Details

E-Mail: DAVIDWELTONDDS@GMAIL.COM
Phone Number: +1 208-777-9599

Nature of Business

Any Lawful Purpose, DENTAL SERVICES

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Registered Agent Information

Name Role
NORTHWEST REGISTERED AGENT LLC Registered Agent

Key Officers & Management

Name Role Address
DAVID WELTON Governing Person 1100 E POLSTON AVE, POST FALLS, ID, 83854-7875, UNITED STATES
DAVID WELTON Incorporator 1100 E POLSTON AVE, POST FALLS, ID, 83854-7875, UNITED STATES

National Provider Identifier

NPI Number:
1790472637
Certification Date:
2023-04-20

Authorized Person:

Name:
MIA FOWLER
Role:
CFOO
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
5093815382
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