MICHAEL R. COLE DDS PS

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Company Details

Legal Name:	MICHAEL R. COLE DDS PS
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	December 13th 2004
Date of Dissolution:	January 17th 2019
Expiration date:	31 Dec 2018
UBI Number:	602 453 435
ZIP code:	98926
City:	Ellensburg
County:	KITTITAS
Home State:	WASHINGTON
Principal Office Street Address:	2401 W DOLARWAY RD, ELLENSBURG, WA, 98926, UNITED STATES

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Registered Agent Information

Name	Role	Address
MICHAEL COLE	Registered Agent	2401 W DOLARWAY RD, ELLENSBURG, WA, 98926-0000, UNITED STATES

Key Officers & Management

Name	Role
MICHAEL COLE	Governing Person
ROBIN COLE	Governing Person

National Provider Identifier

NPI Number:

1922108026

Link:

View on NPI website

Authorized Person:

Name:

MS. ROBIN Y COLE

Role:

BUSINESS MANAGER

Phone:

5099256636

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

Yes

Contacts:

Phone:

+1 509-925-6553

Fax:

5099626712

Form 5500 Series

Employer Identification Number (EIN):

202040230

Plan Year:

2013

Number Of Participants:

19

Plan Name:

RETIREMENT PLAN

Sponsor's DBA Name:

PEARL CARE DENTAL

Sponsor's telephone number:

5099256636

File:

Plan Administrator / Signatory:

MICHAEL R COLE, DDS(Plan administrator)

Plan Year:

2012

Number Of Participants:

18

Plan Name:

RETIREMENT PLAN

Sponsor's DBA Name:

PEARL CARE DENTAL

Sponsor's telephone number:

5099256636

File:

Plan Administrator / Signatory:

MICHAEL R COLE, DDS(Plan administrator)

Plan Year:

2011

Number Of Participants:

16

Plan Name:

RETIREMENT PLAN

Sponsor's DBA Name:

PEARL CARE DENTAL

Sponsor's telephone number:

5099256636

File:

Plan Administrator / Signatory:

MICHAEL R COLE, DOS(Plan administrator)

Plan Year:

2010

Number Of Participants:

18

Plan Name:

RETIREMENT PLAN

Sponsor's DBA Name:

PEARL CARE DENTAL

Sponsor's telephone number:

5099256636

File:

Plan Administrator / Signatory:

MICHAEL R COLE, DDS(Plan administrator)

Plan Year:

2009

Number Of Participants:

17

Plan Name:

RETIREMENT PLAN

Sponsor's DBA Name:

PEARL CARE DENTAL

Sponsor's telephone number:

5099256636

File:

Plan Administrator / Signatory:

MICHAEL R COLE, DDS(Plan administrator) MICHAEL R COLE, DDS(Employer/plan sponsor)

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