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HAL KUSSICK DDS, PLLC

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Company Details

Legal Name: HAL KUSSICK DDS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: January 10th 2012
Date of Dissolution: January 3rd 2017
Expiration date: 31 Jan 2018
UBI Number: 603 172 451
ZIP code: 98109
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 888 HARRISON ST., SEATTLE, WA, 98109, UNITED STATES

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Registered Agent Information

Name Role Address
HAL KUSSICK Registered Agent 888 HARRISON ST, SEATTLE, WA, 98109-5124, UNITED STATES

Key Officers & Management

Name Role
HAL KUSSICK Governing Person

National Provider Identifier

NPI Number:
1275805343

Authorized Person:

Name:
DR. HAL S KUSSICK
Role:
DENTIST
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
454423011
Plan Year:
2016
Number Of Participants:
2
Sponsor's telephone number:
Plan Administrator / Signatory:
HAL KUSSICK(Plan administrator)
Plan Year:
2015
Number Of Participants:
6
Sponsor's telephone number:
Plan Administrator / Signatory:
HAL KUSSICK(Plan administrator)
Plan Year:
2014
Number Of Participants:
7
Sponsor's telephone number:
Plan Administrator / Signatory:
HAL S. KUSSICK(Plan administrator)
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