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EVOLUTION DENTAL ALLIANCE L.L.C.

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Company Details

Legal Name: EVOLUTION DENTAL ALLIANCE L.L.C.
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Withdrawn
Formation/ Registration Date: May 14th 2018
Date of Dissolution: October 8th 2019
Expiration date: 31 May 2020
UBI Number: 604 274 498
Home State: NEVADA
Principal Office Street Address: Google Maps Logo 9067 W POST ROAD, SUITE C, LAS VEGAS, NV, 89148, UNITED STATES

Contact Details

E-Mail: JANYSE@FRONTSIXTH.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
EVOLUTION DENTAL ALLIANCE LLC Registered Agent 507 S WASHINGTON ST STE 190, SUITE 190, SPOKANE, WA, 99204, UNITED STATES

Key Officers & Management

Name Role
COREY PLASTER Governing Person
JOEL BLAKE Governing Person
BRYSON LEMONE Governing Person

National Provider Identifier

NPI Number:
1689175309

Authorized Person:

Name:
DR. JOEL BLAKE
Role:
CHIEF CLINICAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

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