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TOOTH ACRES DENTAL, INC.

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Company Details

Name: TOOTH ACRES DENTAL, INC.
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 27 May 2005 (20 years ago)
Entity Number: 274556
Place of Formation: IDAHO
File Number: 0000274556
ZIP code: 83854
County: Kootenai County
Mailing Address: 105 E 10TH AVE STE B POST FALLS, ID 83854

National Provider Identifier

NPI Number:
1548381775

Authorized Person:

Name:
DR. SHAD RYAN HELM
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2087770346

Filing

Filing Name Filing Number Filing date
Initial Filing 0000274556 2005-05-27

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State