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WILLIAM M. PETERSEN, D.D.S., P.C.

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Company Details

Legal Name: WILLIAM M. PETERSEN, D.D.S., P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: November 23rd 1987
Date of Dissolution: April 3rd 2021
Expiration date: 30 Nov 2020
UBI Number: 601 056 593
ZIP code: 99223
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 7611 S. MT. SPRINGS LANE, SPOKANE, WA, 99223, UNITED STATES

Contact Details

E-Mail: DRWMPETEDDS@GMAIL.COM
Phone Number: +1 509-879-8403

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
WILLIAM M PETERSEN Registered Agent 7611 S MOUNTAIN SPRINGS LN, SPOKANE, WA, 99223-1880, UNITED STATES

Key Officers & Management

Name Role
WILLIAM PETERSEN Governing Person

National Provider Identifier

NPI Number:
1053521393

Authorized Person:

Name:
DR. WILLIAM MARC PETERSEN
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
5093267180
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