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ROBERT L. WILDER, D.D.S., P.S.

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Company Details

Legal Name: ROBERT L. WILDER, D.D.S., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 6th 2012
Expiration date: 30 Sep 2025
UBI Number: 603 235 835
ZIP code: 99037
City: Veradale
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 210 S SULLIVAN RD, SPOKANE VLY, WA, 99037-9712, UNITED STATES

Contact Details

E-Mail: DR@WILDERDENTISTRY.COM
Phone Number: +1 509-891-7770

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ERIK A KUKUK Registered Agent 717 W SPRAGUE AVE STE 1200, SPOKANE, WA, 99201-3905, UNITED STATES

Key Officers & Management

Name Role
ROBERT WILDER Governing Person

National Provider Identifier

NPI Number:
1578925145

Authorized Person:

Name:
TONIA WILDER
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
5098917773
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