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MELLISSA ILGEN, DDS, PLLC

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Company Details

Legal Name: MELLISSA ILGEN, DDS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 1st 2020
Expiration date: 31 Oct 2025
UBI Number: 604 551 247
ZIP code: 98346
City: Kingston
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 26114 ILLINOIS AVE NE, KINGSTON, WA, 98346-7674, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1788 NE SAWDUST HILL RD, POULSBO, WA, 98370-9147, UNITED STATES

Contact Details

E-Mail: DR.ILGEN@APPLETREECOVEDENTAL.COM
Phone Number: +1 206-900-2466

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MELLISSA ILGEN Registered Agent 26114 ILLINOIS AVE NE, KINGSTON, WA, 98346-7674, UNITED STATES

Key Officers & Management

Name Role Address
MELLISSA ILGEN Executor 26114 ILLINOIS AVE NE, KINGSTON, WA, 98346-7674, UNITED STATES
MELLISSA ILGEN Governing Person -

National Provider Identifier

NPI Number:
1386241636
Certification Date:
2020-10-10

Authorized Person:

Name:
DR. MELLISSA ILGEN
Role:
DENTIST
Phone:

Taxonomy:

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

Contacts:

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