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PRIME DENTAL GROUP, LLC

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Company Details

Legal Name: PRIME DENTAL GROUP, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: February 20th 2009
Date of Dissolution: January 22nd 2014
Expiration date: 28 Feb 2014
UBI Number: 602 901 200

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Registered Agent Information

Name Role Address
YONGJAEKIM Registered Agent 12616 RENTON AVE S #110, SEATTLE, WA, 98178-3711, UNITED STATES

Key Officers & Management

Name Role Address
HYE-JIN KIM Governing Person PO BOX 4086, BELLEVUE, WA, 98009-4086, UNITED STATES
YONGJAE KIM Governing Person PO BOX 4086, BELLEVUE, WA, 98009-4086, UNITED STATES

National Provider Identifier

NPI Number:
1407097850

Authorized Person:

Name:
YONGJAE KIM
Role:
MEMBER
Phone:

Taxonomy:

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

Contacts:

Fax:
2535203844
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