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SMITHCARE: GENERAL DERMATOLOGY, MOHS SURGERY & AESTHETICS PLLC

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Company Details

Legal Name: SMITHCARE: GENERAL DERMATOLOGY, MOHS SURGERY & AESTHETICS PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 7th 2021
Expiration date: 31 Jan 2026
UBI Number: 604 696 517
ZIP code: 98370
City: Poulsbo
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 21800 MARKET PL NW STE 103, POULSBO, WA, 98370-6667, UNITED STATES

Contact Details

E-Mail: ANDREADSMITHMD@GMAIL.COM
Phone Number: +1 360-291-5700

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ANDREA SMITH Registered Agent 20256 PUGH RD NE, POULSBO, WA, 98370-9003, UNITED STATES

Key Officers & Management

Name Role Address
ANDREA BASSHAM Executor 20256 PUGH RD NE, POULSBO, WA, 98370-9003, UNITED STATES
ANDREA SMITH Governing Person -

National Provider Identifier

NPI Number:
1417620998
Certification Date:
2021-09-08

Authorized Person:

Name:
ANDREA DAWN SMITH
Role:
MANAGING MEMBER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207NS0135X - Procedural Dermatology Physician
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
3602915702
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