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FAIRWOOD PEDODONTICS, LLC

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Company Details

Legal Name: FAIRWOOD PEDODONTICS, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 27th 2021
Expiration date: 30 Apr 2026
UBI Number: 604 746 632
ZIP code: 98058
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 14246 SE 176TH ST, RENTON, WA, 98058-8787, UNITED STATES

Contact Details

E-Mail: REGISTEREDAGENT@CAIRNCROSS.COM

Nature of Business

Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
CAIRNCROSS & HEMPELMANN, P.S. Registered Agent 524 2ND AVE STE 500, SEATTLE, WA, 98104-2323, UNITED STATES

Key Officers & Management

Name Role Address
LUKE NGUYEN Governing Person -
MARGARET BREEN EXECUTOR 524 2ND AVE STE 500, SEATTLE, WA, 98104-2323, UNITED STATES

National Provider Identifier

NPI Number:
1164197125
Certification Date:
2021-08-11

Authorized Person:

Name:
DR. TRAVIS PROBST
Role:
OWNER/DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

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