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Allante Plastic Surgery LLC

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Company Details

Name: Allante Plastic Surgery LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 02 May 2019 (6 years ago)
Financial Date End: 31 May 2020
Date dissolved: 05 Aug 2020
Entity Number: 3501871
Place of Formation: IDAHO
File Number: 664814
ZIP code: 83709
County: Ada County
Principal Address: 909 S ALLANTE PLACE BOISE, ID 83719
Mailing Address: 909 S ALLANTE PL BOISE, ID 83709-1612

Agent

Name Role Address
Carrie L Thomas Agent 909 S ALLANTE PLACE, BOISE, ID 83719

National Provider Identifier

NPI Number:
1568693786

Authorized Person:

Name:
JUSTIN RODNEY JOHNSEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
No
Selected Taxonomy:
207WX0200X - Ophthalmic Plastic and Reconstructive Surgery Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003958586 2020-08-05
Amendment to Certificate 0003683842 2019-11-25
Initial Filing 0003501871 2019-05-02

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State