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TERRY R. WALLEN, D.D.S., P.S.

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Company Details

Legal Name: TERRY R. WALLEN, D.D.S., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: November 5th 1979
Date of Dissolution: April 3rd 2021
Expiration date: 30 Nov 2020
UBI Number: 600 344 821
ZIP code: 98862
City: Winthrop
County: OKANOGAN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 503 HIGHWAY 20 STE 4, WINTHROP, WA, 98862, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 1205, WINTHROP, WA, 98862-1205, UNITED STATES

Nature of Business

HEALTH CARE

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Registered Agent Information

Name Role Address
GARY W. SCOTT Registered Agent 503 HIGHWAY 20 STE 4, WINTHROP, WA, 98862, UNITED STATES

Key Officers & Management

Name Role
TERRY R. WALLEN Governing Person

Form 5500 Series

Employer Identification Number (EIN):
911085084
Plan Year:
2017
Number Of Participants:
9
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2016
Number Of Participants:
9
Plan Name:
401(K)
Plan Administrator / Signatory:
DR. TERRY R. WALLEN(Plan administrator) DR. TERRY R. WALLEN(Employer/plan sponsor)
Plan Year:
2015
Number Of Participants:
9
Plan Name:
401(K)
Plan Administrator / Signatory:
DR. TERRY R. WALLEN(Plan administrator) DR. TERRY R. WALLEN(Employer/plan sponsor)
Plan Year:
2014
Number Of Participants:
7
Plan Name:
401(K)
Plan Administrator / Signatory:
DR. TERRY R. WALLEN(Plan administrator) DR. TERRY R. WALLEN(Employer/plan sponsor)
Plan Year:
2013
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's DBA Name:
TERRY R. WALLEN, D.D.S., P.S.
Plan Administrator / Signatory:
DR. TERRY R. WALLEN(Plan administrator) DR. TERRY R. WALLEN(Employer/plan sponsor)

OSHA's Inspections within Industry

Inspection Summary

Date:
1991-03-29
Type:
Planned
Address:
118 SW 330TH SUITE 200, FEDERAL WAY, WA, 98032
Safety Health:
Health
Scope:
Complete
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