PACIFIC NORTHWEST DENTAL GROUP L.L.C.

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Company Details

Legal Name:	PACIFIC NORTHWEST DENTAL GROUP L.L.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	August 13th 2020
Expiration date:	31 Aug 2024
UBI Number:	604 648 335
ZIP code:	98502
City:	Olympia
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	2728 WESTMOOR CT SW STE D, OLYMPIA, WA, 98502, UNITED STATES

Contact Details

E-Mail:	CHADKLEVEN@GMAIL.COM
Phone Number:	+1 360-995-0025

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
CHAD KLEVEN	Registered Agent	2728 WESTMOOR CT SW STE D, OLYMPIA, WA, 98502, UNITED STATES

Key Officers & Management

Name	Role	Address
CHAD KLEVEN	Executor	2728 WESTMOOR CT SW, SUITE D, OLYMPIA, WA, 98502-5779, UNITED STATES
CHAD KLEVEN	Governing Person	-

National Provider Identifier

NPI Number:

1205412467

Certification Date:

2021-03-18

Link:

View on NPI website

Authorized Person:

Name:

DR. CHAD KLEVEN

Role:

OWNER

Phone:

3609950025

Taxonomy:

Selected Taxonomy:

261QD0000X - Dental Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 360-995-0025

Fax:

3609950027

Labor Condition Applications

Case Number:

I-200-22108-080350

Program:

H-1B

Job Title:

Dentist

SOC (ONET/OES) code:

29-1021.00

SOC (ONET/OES) occupation title:

Dentists, General

Begin Date:

2022-10-01

End Date:

2025-09-30

Employment and Wage Information

Address:

2728 Westmoor Court SW, Suite D, Olympia, THURSTON, WA, 98502

Wage Rate Paid to Nonimmigrant Workers:

$100

Per:

Hour

Prevailing Wage Rate: