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WARREN WILLIS DMD P.C.
Company Details
| Name: |
WARREN WILLIS DMD P.C. |
| Jurisdiction: |
Idaho |
| Legal type: |
Professional Service Corporation (D) |
| Status: |
Active-Good Standing
|
| Date of registration: |
16 Apr 2002 (23 years ago)
|
| Financial Date End: |
30 Apr 2026 |
| Entity Number: |
437180 |
| Place of Formation: |
IDAHO |
| File Number: |
437180 |
| ZIP code: |
83617
|
| County: |
Gem County |
| Mailing Address: |
507 S WASHINGTON AVE EMMETT, ID 83617-3522 |
Agent
| Name |
Role |
Address |
|
WARREN WILLIS DMD
|
Agent
|
507 S WASHINGTON AVE, EMMETT, ID 83617
|
President
| Name |
Role |
Address |
Appointed On |
|
Warren R Willis
|
President
|
2655 SAND HILL LANE, EMMETT, ID 83617
|
2021-03-08
|
Vice President
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
Jake Christensen
|
Vice President
|
507 S WASHINGTON AVE, EMMETT, ID 83617
|
2024-03-03
|
2024-03-03
|
National Provider Identifier
Authorized Person:
Name:
WARREN RICHARD WILLIS
Taxonomy:
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Contacts:
This company hasn't received any reviews.
Date of last update: 05 Jun 2025
Sources:
Idaho Secretary of State
