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JUSTIN VANBIBBER II DDS, P.C.

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Company Details

Legal Name: JUSTIN VANBIBBER II DDS, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 28th 2018
Expiration date: 30 Jun 2026
UBI Number: 604 301 599
ZIP code: 98632
City: Longview
County: COWLITZ
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 900 OCEAN BEACH HWY, SUITE A, LONGVIEW, WA, 98632, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $6,646

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM

Nature of Business

DENTAL OFFICE

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role Address
JUSTIN VANBIBBER Governing Person -
SCOTT KUMPF Incorporator 9565 S KINGSTON CT, ENGLEWOOD, CO, 80112-6022, UNITED STATES

National Provider Identifier

NPI Number:
1093293219

Authorized Person:

Name:
CHRISTINA OJEDA
Role:
REGIONAL MGR
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2534261836
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