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TYLER SHOEMAKER, D.M.D., P.S.

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Company Details

Legal Name: TYLER SHOEMAKER, D.M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: October 3rd 2005
Date of Dissolution: February 2nd 2015
Expiration date: 31 Oct 2014
UBI Number: 602 544 344
ZIP code: 99208
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1024 E HURON, SPOKANE, WA, 99208, UNITED STATES

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Registered Agent Information

Name Role Address
TYLER SHOEMAKER Registered Agent 101 W CASCADE WAY STE 101, SPOKANE, WA, 99208-6000, UNITED STATES

Key Officers & Management

Name Role
TYLER SHOEMAKER Governing Person

National Provider Identifier

NPI Number:
1013191121

Authorized Person:

Name:
BARBARA STOYANAC
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
5094681814

Form 5500 Series

Employer Identification Number (EIN):
203568277
Plan Year:
2009
Number Of Participants:
9
Sponsor's DBA Name:
PINEVIEW DENTAL
Sponsor's telephone number:
Plan Administrator / Signatory:
S. TYLER SHOEMAKER(Plan administrator)
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