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JACK C. KULM, DMD, PA

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Company Details

Name: JACK C. KULM, DMD, PA
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 12 Jan 2001 (24 years ago)
Financial Date End: 31 Jan 2015
Date dissolved: 21 Apr 2015
Entity Number: 418864
Place of Formation: IDAHO
File Number: 0000418864
ZIP code: 83355
County: Gooding County
Mailing Address: 410 N IDAHO ST WENDELL, ID 83355

National Provider Identifier

NPI Number:
1932364387

Authorized Person:

Name:
JACK KULM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2085365873

Filing

Filing Name Filing Number Filing date
Annual Report 0002787746 2013-11-20
Annual Report 0002787745 2012-11-27
Annual Report 0002787741 2011-11-08
Annual Report 0002787740 2010-12-08
Annual Report 0002787739 2010-01-27

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State