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TIMOTHY E. NELSON, D.D.S., P.S.

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Company Details

Legal Name: TIMOTHY E. NELSON, D.D.S., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: April 19th 2006
Date of Dissolution: January 8th 2018
Expiration date: 30 Apr 2018
UBI Number: 602 606 005
ZIP code: 98632
City: Longview
County: COWLITZ
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 855 11TH AVE STE B, LONGVIEW, WA, 98632, UNITED STATES

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Registered Agent Information

Name Role Address
SCOTT C HENDERSON Registered Agent 1201 THIRD AVE STE 3200, SEATTLE, WA, 98101-0000, UNITED STATES

Key Officers & Management

Name Role Address
TIMOTHY E NELSON, D D S Governing Person 855 11TH AVENUE, SUITE B, LONGVIEW, WA, 98632, UNITED STATES
LINDA S NELSON Governing Person 855 11TH AVENUE, SUITE B, LONGVIEW, WA, 98632, UNITED STATES

National Provider Identifier

NPI Number:
1821027913

Authorized Person:

Name:
TIMOTHY E NELSON
Role:
CORPORATION OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
3604255045

Form 5500 Series

Employer Identification Number (EIN):
204730822
Plan Year:
2016
Number Of Participants:
13
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
Plan Administrator / Signatory:
TIMOTHY NELSON(Plan administrator)
Plan Year:
2015
Number Of Participants:
12
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
Plan Administrator / Signatory:
TIMOTHY NELSON(Plan administrator)
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