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MAYFIELD DMD, PC

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Company Details

Legal Name: MAYFIELD DMD, PC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 21st 2008
Date of Dissolution: October 20th 2014
Expiration date: 31 Mar 2015
UBI Number: 602 816 247
ZIP code: 99208
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 524 E FRANCIS AVE, SPOKANE, WA, 99208, UNITED STATES

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Registered Agent Information

Name Role Address
C T CORPORATION SYSTEM Registered Agent 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

Key Officers & Management

Name Role Address
DR DALE MAYFIELD Governing Person 1090 NORTHCHASE PKWY #150, ATTN: CHRIS WOODS, MARIETTA, GA, 30067, UNITED STATES

National Provider Identifier

NPI Number:
1063661338

Authorized Person:

Name:
DR. DALE G MAYFIELD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223E0200X - Endodontist
Is Primary:
No
Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
6782477858
Fax:
7709045666
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