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SHANNON WILSON DDS PS

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Company Details

Legal Name: SHANNON WILSON DDS PS
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 29th 2023
Expiration date: 31 Mar 2026
UBI Number: 605 158 058
ZIP code: 98125
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 11730 15TH AVE NE, SEATTLE, WA, 98125-5026, UNITED STATES

Contact Details

E-Mail: DRSHANWILS@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SHANNON WILSON DDS PS Registered Agent 18529 LINDEN AVE N, SHORELINE, WA, 98133-3926, UNITED STATES

Key Officers & Management

Name Role Address
SHANNON WILSON Governing Person -
SHANNON WILSON Incorporator 18529 LINDEN AVE N, SHORELINE, WA, 98133-3926, UNITED STATES

National Provider Identifier

NPI Number:
1710794979
Certification Date:
2024-12-11

Authorized Person:

Name:
DR. SHANNON WILSON
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

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