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LARS KORSMO, D.D.S, PLLC

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Company Details

Legal Name: LARS KORSMO, D.D.S, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 2nd 2020
Expiration date: 31 Mar 2026
UBI Number: 604 589 820
ZIP code: 98406
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2520 N ALDER ST, TACOMA, WA, 98406-6632, UNITED STATES

Contact Details

E-Mail: CORP@HELSELL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
HELSELL FETTERMAN LLP Registered Agent

Key Officers & Management

Name Role Address
LARS KORSMO, D.D.S. Executor 2304 N ANDERSON ST, TACOMA, WA, 98406-7133, UNITED STATES
LARS KORSMO, D.D.S. Governing Person -

National Provider Identifier

NPI Number:
1710577416
Certification Date:
2021-01-26

Authorized Person:

Name:
DR. LARS K.C. KORSMO
Role:
DENTIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

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