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ADVANCED DENTAL CARE OF TWIN FALLS

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Company Details

Name: ADVANCED DENTAL CARE OF TWIN FALLS
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 07 Feb 2002 (24 years ago)
Entity Number: 167123
Place of Formation: IDAHO
File Number: 0000167123
ZIP code: 83301
County: Twin Falls County
Mailing Address: 342 N BLUE LAKES TWIN FALLS, ID 83301

National Provider Identifier

NPI Number:
1740449164

Authorized Person:

Name:
CRAIG RENCHER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000167123 2002-02-07

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State