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DGB PLLC

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Company Details

Legal Name: DGB PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 13th 2019
Expiration date: 31 Mar 2026
UBI Number: 604 415 656
ZIP code: 99019
City: Liberty Lake
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2207 N MOLTER RD STE 203, LIBERTY LAKE, WA, 99019-7571, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 23208 E COLONY CT, LIBERTY LAKE, WA, 99019-8525, UNITED STATES

Contact Details

E-Mail: DROSTANSTACI@GMAIL.COM
Phone Number: +1 208-757-1618

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DROSTAN BAKER Registered Agent 23208 E COLONY CT, LIBERTY LAKE, WA, 99019-8525, UNITED STATES

Key Officers & Management

Name Role Address
DROSTAN BAKER Executor 23208 E COLONY CT, LIBERTY LAKE, WA, 99019-8525, UNITED STATES
DROSTAN BAKER Governing Person -

National Provider Identifier

NPI Number:
1669140836
Certification Date:
2021-09-02

Authorized Person:

Name:
DR. DROSTAN GREGG BAKER
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5098423057
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