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KIDS DENTAL OF CENTRALIA, P.C.

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Company Details

Legal Name: KIDS DENTAL OF CENTRALIA, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 6th 2014
Expiration date: 28 Feb 2026
UBI Number: 603 374 305
ZIP code: 98531
City: Centralia
County: LEWIS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1611 KRESKY AVE, CENTRALIA, WA, 98531, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $42,363

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM
Phone Number: +1 877-888-1245

Nature of Business

Other Services, DENTAL PRACTICE

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
JUSTIN VANBIBBER Governing Person
CHRIS ANDERSON Governing Person

National Provider Identifier

NPI Number:
1659796076

Authorized Person:

Name:
JUSTIN VANBIBBER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

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