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G. PETE LESEBERG, D.M.D., P.A.

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Company Details

Name: G. PETE LESEBERG, D.M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 10 Oct 2000 (25 years ago)
Financial Date End: 31 Oct 2013
Date dissolved: 16 Jan 2014
Entity Number: 414973
Place of Formation: IDAHO
File Number: 0000414973
ZIP code: 83642
County: Ada County
Mailing Address: 1550 N CRESTMONT DR STE G MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1346572435

Authorized Person:

Name:
MRS. KAMIE LUND
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QS0112X - Oral and Maxillofacial Surgery Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2088844844

Filing

Filing Name Filing Number Filing date
Annual Report 0002772934 2012-08-13
Annual Report 0002772930 2011-08-11
Annual Report 0002772929 2010-11-09
Annual Report 0002772928 2009-08-12
Annual Report 0002772932 2008-08-15

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State