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DIEP PHAM PC

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Company Details

Legal Name: DIEP PHAM PC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 20th 2018
Expiration date: 31 Aug 2025
UBI Number: 604 324 143
ZIP code: 98682
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 13510 NE 84TH ST STE 105, VANCOUVER, WA, 98682-3092, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $7,281

Contact Details

E-Mail: SUNSHINEDENTALORCHARDS@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SUNSHINE DENTAL PC Registered Agent 13510 NE 84TH ST STE 105, VANCOUVER, WA, 98682-3092, UNITED STATES

Key Officers & Management

Name Role Address
DIEP PHAM Governing Person 13510 NE 84TH ST SUITE 105, VANCOUVER, WA, 98682, UNITED STATES
DIEP PHAM Incorporator 13510 NE 84TH ST STE 105, VANCOUVER, WA, 98682-3092, UNITED STATES

National Provider Identifier

NPI Number:
1598247884

Authorized Person:

Name:
DIEP PHAM
Role:
GENERAL DENTIST
Phone:

Taxonomy:

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

Contacts:

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