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DENTAL SLEEP THERAPY OF WALLA WALLA, PLLC

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Company Details

Legal Name: DENTAL SLEEP THERAPY OF WALLA WALLA, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: June 22nd 2011
Date of Dissolution: June 24th 2024
Expiration date: 30 Jun 2024
UBI Number: 603 124 711
ZIP code: 99362
City: Walla Walla
County: WALLA WALLA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 213 S SECOND AVE, WALLA WALLA, WA, 99362, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $146

Contact Details

E-Mail: GWEN@IFDWW.COM
Phone Number: +1 509-529-4111

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
GWEN DAVIS Registered Agent 217 S SECOND AVE, WALLA WALLA, WA, 99362-0000, UNITED STATES

Key Officers & Management

Name Role Address
NANNETTE GOYER DDS Governing Person 213 S SECOND AVE, WALLA WALLA, WA, 99362, UNITED STATES

National Provider Identifier

NPI Number:
1174807853

Authorized Person:

Name:
DR. NANNETTE DAVIS GOYER
Role:
DENTIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
Yes

Contacts:

Fax:
5095265295
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