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PHILIP A. WALCZAK, DDS PLLC.

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Company Details

Legal Name: PHILIP A. WALCZAK, DDS PLLC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 23rd 2024
Expiration date: 31 Dec 2025
UBI Number: 605 658 024
ZIP code: 98115
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9730 3RD AVE NE STE 105, SEATTLE, WA, 98115-2023, UNITED STATES

Contact Details

E-Mail: PHILIPWALCZAK@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
PHILIP WALCZAK Registered Agent 9730 3RD AVE NE STE 105, SEATTLE, WA, 98115-2023, UNITED STATES

Key Officers & Management

Name Role Address
PHILIP WALCZAK Executor 12334 31ST AVE NE APT 608, SEATTLE, WA, 98125-5583, UNITED STATES
PHILIP WALCZAK Governing Person 12334 31ST AVE NE, APT 608, SEATTLE, WA, 98125-5583, UNITED STATES

National Provider Identifier

NPI Number:
1497555080
Certification Date:
2025-05-08

Authorized Person:

Name:
DR. PHILIP ADAM WALCZAK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

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