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RYAN BUSHMAN DMD & CHASE DAVIS DDS PLLC.

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Company Details

Legal Name: RYAN BUSHMAN DMD & CHASE DAVIS DDS PLLC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Delinquent
Formation/ Registration Date: March 9th 2022
Expiration date: 31 Mar 2025
UBI Number: 604 884 245
ZIP code: 99022
City: Medical Lake
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 123 N BROWER ST, MEDICAL LAKE, WA, 99022-5109, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 3010 E FRUITVALE AVE, GILBERT, AZ, 85297-5261, UNITED STATES

Contact Details

E-Mail: CHASE@CHANDLERDENTAL.COM
Phone Number: +1 480-341-0095

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
GEORGE BRUNT Registered Agent 601 W RIVERSIDE AVE STE 1400, SPOKANE, WA, 99201-0627, UNITED STATES

Key Officers & Management

Name Role Address
CHASE DAVIS Executor 3010 E FRUITVALE AVE, GILBERT, AZ, 85297-5261, UNITED STATES
CHASE DAVIS Governing Person -
CHASE D DAVIS PLLC Governing Person -
RYAN A BUSHMAN, DMD, PLLC Governing Person -
RYAN BUSHMAN Governing Person -

National Provider Identifier

NPI Number:
1679213375
Certification Date:
2022-04-18

Authorized Person:

Name:
ASHLIE RIVERSON
Role:
BILLING CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
5098939485
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