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PORT ORCHARD DENTAL, LLC

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Company Details

Legal Name: PORT ORCHARD DENTAL, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 6th 2021
Expiration date: 31 May 2026
UBI Number: 604 756 703
ZIP code: 98366
City: Port Orchard
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2472 BETHEL RD SE, PORT ORCHARD, WA, 98366-2404, UNITED STATES

Contact Details

E-Mail: REGISTEREDAGENT@CAIRNCROSS.COM

Nature of Business

Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
CAIRNCROSS & HEMPELMANN, P.S. Registered Agent 524 2ND AVE STE 500, SEATTLE, WA, 98104-2323, UNITED STATES

Key Officers & Management

Name Role Address
JERRY MAY Governing Person -
MARGARET BREEN EXECUTOR 524 2ND AVE STE 500, SEATTLE, WA, 98104-2323, UNITED STATES

National Provider Identifier

NPI Number:
1538732144
Certification Date:
2021-07-31

Authorized Person:

Name:
TRAVIS PROBST
Role:
DENTIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

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