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L. CARLOS MORALES, DDS, PS

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Company Details

Legal Name: L. CARLOS MORALES, DDS, PS
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 12th 1998
Date of Dissolution: January 3rd 2017
Expiration date: 31 Aug 2016
UBI Number: 601 894 686

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Registered Agent Information

Name Role Address
LUIS CARLOS MORALES Registered Agent 4409 NE 7TH PL, RENTON, WA, 98059-0000, UNITED STATES

Key Officers & Management

Name Role Address
LUIS MORALES Governing Person 4409 NE 7TH PL, RENTON, WA, 98059, UNITED STATES

National Provider Identifier

NPI Number:
1013087840

Authorized Person:

Name:
DR. LUIS CARLOS MORALES
Role:
PRESIDENT DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
4254322938
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