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SAM CHONG, DDS, P.L.L.C.

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Company Details

Legal Name: SAM CHONG, DDS, P.L.L.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 3rd 2021
Expiration date: 31 Aug 2025
UBI Number: 604 791 831
ZIP code: 98040
City: Mercer Island
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3486 77TH AVE SE, MERCER ISLAND, WA, 98040-3444, UNITED STATES

Contact Details

E-Mail: SAMCHONGDDS@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SAMUEL CHONG Registered Agent 3486 77TH AVE SE, MERCER ISLAND, WA, 98040-3444, UNITED STATES

Key Officers & Management

Name Role Address
SAMUEL CHONG Executor 3486 77TH AVE SE, MERCER ISLAND, WA, 98040-3444, UNITED STATES
SAMUEL CHONG Governing Person 3486 77TH AVE SE, MERCER ISLAND, WA, 98040-3444, UNITED STATES

National Provider Identifier

NPI Number:
1316780877
Certification Date:
2024-06-13

Authorized Person:

Name:
DR. SAMUEL CHONG
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

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