MIKHAI C. TA, DDS, PS

Is this your business?

Get access!

Company Details

Legal Name:	MIKHAI C. TA, DDS, PS
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	January 1st 2008
Date of Dissolution:	February 3rd 2020
Expiration date:	31 Jan 2020
UBI Number:	602 780 739
ZIP code:	98531
City:	Centralia
County:	LEWIS
Home State:	WASHINGTON
Principal Office Street Address:	1211 S GOLD ST, CENTRALIA, WA, 98531-3715, UNITED STATES
Principal Office Mailing Address:	PO BOX 676, CENTRALIA, WA, 98531-0676, UNITED STATES

Contact Details

E-Mail:	SFRITZ02@HOTMAIL.COM
Phone Number:	+1 360-736-5040

Nature of Business

Health Care, Social Assistance & Service Organization

Reviews Leave a review

Be the first to leave a review!

Registered Agent Information

Name	Role	Address
STEPHANIE FRITZ-TA	Registered Agent	1211 S GOLD ST, CENTRALIA, WA, 98531-3715, UNITED STATES

Key Officers & Management

Name	Role	Address
MIKHAI TA	Governing Person	199-21 URQUHART RD, CHEHALIS, WA, 98532-8982, UNITED STATES
STEPHANIE FRITZ-TA	Governing Person	1211 S GOLD ST, CENTRALIA, WA, 98531-3715, UNITED STATES

National Provider Identifier

NPI Number:

1003117946

Link:

View on NPI website

Authorized Person:

Name:

DR. MIKHAI CONG TA

Role:

OWNER

Phone:

9099361803

Taxonomy:

Selected Taxonomy:

122300000X - Dentist

Is Primary:

Yes

Contacts:

Phone:

+1 360-736-5040

Fax:

3607361979

Form 5500 Series

Employer Identification Number (EIN):

261435224

Plan Year:

2019

Number Of Participants:

3

Sponsor's telephone number:

3607365040

File:

Plan Administrator / Signatory:

MIKHAI C TA(Plan administrator)

Plan Year:

2019

Number Of Participants:

1

Sponsor's telephone number:

3607365040

File:

Plan Administrator / Signatory:

MIKHAI C TA(Plan administrator)

Plan Year:

2018

Number Of Participants:

4

Sponsor's telephone number:

3607365040

File:

Plan Administrator / Signatory:

MIKHAI C TA(Plan administrator)

Plan Year:

2017

Number Of Participants:

6

Sponsor's telephone number:

3607365040

File:

Plan Administrator / Signatory:

MIKHAI C TA(Plan administrator)

Plan Year:

2016

Number Of Participants:

1

Sponsor's telephone number:

3607365040

File:

Plan Administrator / Signatory:

MIKHAI C TA(Plan administrator)

See something incorrect or outdated? Let us know