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STACEY KUTSCH, D.D.S., M.S., PLLC

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Company Details

Legal Name: STACEY KUTSCH, D.D.S., M.S., PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 23rd 2013
Expiration date: 31 Dec 2025
UBI Number: 603 359 388
ZIP code: 99362
City: Walla Walla
County: WALLA WALLA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 614 E ALDER ST STE 6, WALLA WALLA, WA, 99362-2073, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $32,097

Contact Details

E-Mail: SKUTSCH@CHARTER.NET
Phone Number: +1 509-522-0555

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JOE A. ROMBERG Registered Agent 717 W SPRAGUE AVE STE 1600, SPOKANE, WA, 99201-3923, UNITED STATES

Key Officers & Management

Name Role Address
STACEY KUTSCH Governing Person -
KEVIN P TAVARES EXECUTOR 717 W SPRAGUE AVE STE 1600, SPOKANE, WA, 99201, UNITED STATES

National Provider Identifier

NPI Number:
1629491766

Authorized Person:

Name:
DR. STACEY RAE KUTSCH
Role:
OWNER PEDIATRIC DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
No
Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

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