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KETCHERS' DENTAL, PLLC

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Company Details

Legal Name: KETCHERS' DENTAL, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 29th 2004
Expiration date: 31 Jan 2026
UBI Number: 602 360 848
ZIP code: 98584
City: Shelton
County: MASON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 490 SE ALPINE AVE, SHELTON, WA, 98584-9296, UNITED STATES

Contact Details

E-Mail: KAT_KETCHER@YAHOO.COM
Phone Number: +1 360-561-0737

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KETCHERS' DENTAL, PLLC Registered Agent 490 SE ALPINE AVE, SHELTON, WA, 98584-9296, UNITED STATES

Key Officers & Management

Name Role Address
KATHERINE KETCHER Governing Person -
REID JOS. KETCHER, D.M.D. EXECUTOR 2220 DUBLIN DR NW, OLYMPIA, WA, 98502, UNITED STATES

National Provider Identifier

NPI Number:
1063553014

Authorized Person:

Name:
DR. KATHERINE J. KETCHER
Role:
MEMBER
Phone:

Taxonomy:

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

Contacts:

Fax:
3604261427

Form 5500 Series

Employer Identification Number (EIN):
200675658
Plan Year:
2011
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
KATHERINE KETCHER, DDS(Plan administrator)
Plan Year:
2010
Number Of Participants:
10
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
KATHERINE KETCHER, DDS(Plan administrator) KATHERINE KETCHER, DDS(Employer/plan sponsor)
Plan Year:
2009
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
REID J.KETCHER, DMD(Plan administrator) REID J.KETCHER, DMD(Employer/plan sponsor)
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