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FREDRICK W. WICKNICK, D.M.D., INC., P.S.

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Company Details

Legal Name: FREDRICK W. WICKNICK, D.M.D., INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: December 30th 1993
Date of Dissolution: January 10th 2020
Expiration date: 31 Dec 2019
UBI Number: 601 513 151
ZIP code: 98229
City: Bellingham
County: WHATCOM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4508 WALL ST, BELLINGHAM, WA, 98229-5101, UNITED STATES

Contact Details

E-Mail: FWWICKNICK@HINET.ORG
Phone Number: +1 360-647-0768

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
FREDRICK W WICKNICK Registered Agent 4508 WALL ST, BELLINGHAM, WA, 98229-5101, UNITED STATES

Key Officers & Management

Name Role
ANNE-MOORE WICKNICK Governing Person
FREDRICK WICKNICK Governing Person

National Provider Identifier

NPI Number:
1659592103

Authorized Person:

Name:
DR. FREDRICK W WICKNICK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
3606713010
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