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JOHN PHAM, DDS, PC

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Company Details

Legal Name: JOHN PHAM, DDS, PC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 2nd 2003
Expiration date: 31 May 2026
UBI Number: 602 292 504
ZIP code: 98532
City: Chehalis
County: LEWIS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1515 NW LOUISIANA AVE, CHEHALIS, WA, 98532-1748, UNITED STATES

Contact Details

E-Mail: PHAMDENT@MSN.COM
Phone Number: +1 360-740-6212

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JOH PHAM Registered Agent 1515 NW LOUISIANA AVE, CHEHALIS, WA, 98532-0000, UNITED STATES

Key Officers & Management

Name Role Address
JOHN PHAM Governing Person 1515 NW LOUISIANA AVE, CHEHALIS, WA, 98532-1748, UNITED STATES

National Provider Identifier

NPI Number:
1538243480

Authorized Person:

Name:
JOHN PHAM
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
3607406222
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