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SE WON AN, DDS, PLLC

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Company Details

Legal Name: SE WON AN, DDS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 7th 2024
Expiration date: 31 May 2026
UBI Number: 605 544 014
ZIP code: 98409
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3104 S UNION AVE, TACOMA, WA, 98409-3330, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 17210 94TH PL NE, BOTHELL, WA, 98011-3922, UNITED STATES

Contact Details

E-Mail: SEWONANDDSPLLC@GMAIL.COM
Phone Number: +1 206-384-8235

Nature of Business

DENTISTRY

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Registered Agent Information

Name Role Address
SE WON AN DDS Registered Agent 17210 94TH PL NE, BOTHELL, WA, 98011-3922, UNITED STATES

Key Officers & Management

Name Role Address
SE WON AN DDS Governing Person -
SE WON AN DDS EXECUTOR 17210 94TH PL NE, BOTHELL, WA, 98011-3922, UNITED STATES

National Provider Identifier

NPI Number:
1912745795
Certification Date:
2024-07-17

Authorized Person:

Name:
SE WON AN
Role:
OWNER DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

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